SP10.1 Post operative complications and functional outcome after ventral mesh and suture rectopexy for rectal prolapse: a single centre observational study
نویسندگان
چکیده
Abstract Aims Laparoscopic ventral mesh rectopexy (LVMR) is a technique gaining more recognition for the management of pelvic floor disorders, such as external rectal prolapse (ERP), high grade internal (IRP) and rectocele. The aim this study was to evaluate post op complications (early, late mesh) functional outcomes after standardized LVMR. Methods All patients who underwent Rectopexy from February 2008 April 2021 were included into study. evaluated preoperatively, at 3 months 1 year postoperatively. Surgical complications, (mesh detachment, erosion infection) results in terms faecal incontinence, recurrence ODS analysed. Results 95 (88 – LVMR; 7 - suture Rectopexy) with mean age 68 female predominance 90 patients. 30 had 45 or intussusception, 20 both ERP IRP (Table 3). 53 preoperative MRI scan 15 proctogram. 4). 92 did not have any early complications. 13 postoperative including recurrent prolapse, stoma formation, migration incisional hernia. Mesh seen 2 whom non-absorbable stitches used. There no deaths documented. During follow up period, 12 patient developed symptoms ODS. Conclusion LVMR safe effective treatment prolapse. Careful selection, appropriate workup, meticulous surgical undoubtedly transforms outcomes.
منابع مشابه
Short term outcome of laparoscopic ventral rectopexy for rectal prolapse
OBJECTIVE To find out the short term outcomes of effectiveness and safety of laparoscopic ventral rectopexy for rectal prolapse. METHODS It was a descriptive case series study of 31 consecutive patients of rectal prolapse in Colorectal division of Ward 2, Department of General surgery, Jinnah Post Graduate Medical Center, Karachi, from November 2009 to November 2015. These patients were admit...
متن کاملResponse to laparoscopic ventral rectopexy for rectal prolapse and rectal intussusception using a biological mesh.
We read with interest the article by Albayati et al published recently.1 There is a sparsity of long term data in use of biological mesh in laparoscopy rectopexy for the treatment of rectal prolapse. We appreciate the efforts made by Albayati et al in this study and note the homogeneous population in terms of gender, age and BMI. This article is protected by copyright. All rights reserved.
متن کاملSystematic review on ventral rectopexy for rectal prolapse and intussusception.
OBJECTIVE This systematic review assesses the effectiveness of ventral rectopexy (VR) surgery for treatment of rectal prolapse (RP) and rectal intussusception (RI) in adults. Method MEDLINE, EMBASE, Scopus and other relevant databases were searched to identify studies. Randomized controlled trials or nonrandomized studies with more than 10 patients receiving ventral mesh rectopexy surgery were ...
متن کاملLong-term Outcome After Laparoscopic Ventral Mesh Rectopexy: An Observational Study of 919 Consecutive Patients.
OBJECTIVE This multicenter study aims to assess long-term functional outcome, early and late (mesh-related) complications, and recurrences after laparoscopic ventral mesh rectopexy (LVR) for rectal prolapse syndromes in a large cohort of consecutive patients. BACKGROUND Long-term outcome data for prolapse repair are rare. A high incidence of mesh-related problems has been noted after transvag...
متن کاملRectopexy for Rectal Prolapse
INTRODUCTION Ventral mesh rectopexy (VMR) is a recognized treatment for posterior compartment pelvic organ prolapse (POP). The aim of this review is to provide a synopsis of the evidence for biological mesh use in VMR, the most widely recognized surgical technique for posterior compartment POP. METHODS A systematic search of PubMed was conducted using the search terms "VMR," "ventral mesh rec...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2023
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znad241.115