scholarly journals Laparoscopic approach to recurrence following multiple surgeries for external rectal prolapse: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kosuke Toda ◽  
Taro Aoyama ◽  
Kenjiro Hirai ◽  
Taisuke Uemura ◽  
Haruku Fujita ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Laparoscopic Approach ◽  
Imaging Study ◽  
Pelvic Organ ◽  
Full Thickness ◽  
Laparoscopic Ventral Mesh Rectopexy ◽  
Perioperative Complication ◽  
External Rectal Prolapse ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

Abstract Introduction The optimal procedure for recurrent external rectal prolapse remains unclear, particularly in laparoscopic approach. In addition, pelvic organ prolapse (POP) is sometimes concomitant with rectal prolapse. We present a case who underwent laparoscopic procedure for the recurrence of full-thickness external rectal prolapse coexisting POP. Case presentation An 81-year-old parous female had a 10-cm full-thickness external rectal prolapse following the two operations: the first was perineal recto-sigmoidectomy and the second was laparoscopic posterior mesh rectopexy. Imaging study revealed that the recurrent rectal prolapse was concomitant with both cystocele and exposed vagina, what we call POP. We planned and successfully performed laparoscopic ventral mesh rectopexy (LVMR) with laparoscopic sacrocolpopexy (LSC) using self-cut meshes without any perioperative complication. Conclusion This is the first report of LVMR and LSC for recurrent rectal prolapse with POP following the perineal recto-sigmoidectomy and laparoscopic posterior mesh rectopexy. Even for recurrent rectal prolapse with POP, our experience suggests that LVMR and LSC could be utilized.

Laparoscopic ventral mesh rectopexy in male patients with internal or external rectal prolapse

2014 ◽  
Vol 16 (12) ◽  
pp. 995-1000 ◽  
Author(s):  
A. E. Owais ◽  
H. Sumrien ◽  
K. Mabey ◽  
K. McCarthy ◽  
G. L. Greenslade ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Laparoscopic Ventral Mesh Rectopexy ◽  
Male Patients ◽  
External Rectal Prolapse ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

Outcome of laparoscopic ventral mesh rectopexy for external rectal prolapse

2014 ◽  
Vol 16 (11) ◽  
pp. 914-919 ◽  
Author(s):  
J. Randall ◽  
E. Smyth ◽  
K. McCarthy ◽  
A. R. Dixon
Keyword(s):  
Rectal Prolapse ◽  
Laparoscopic Ventral Mesh Rectopexy ◽  
External Rectal Prolapse ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

scholarly journals Redo ventral rectopexy: is it worthwhile?

2020 ◽  
Author(s):  
K. E. Laitakari ◽  
J. K. Mäkelä-Kaikkonen ◽  
M. Kairaluoma ◽  
A. Junttila ◽  
J. Kössi ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Rectal Prolapse ◽  
Revisional Surgery ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
Ventral Rectopexy ◽  
Included Patient ◽  
External Rectal Prolapse ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

Abstract Background Minimally invasive ventral mesh rectopexy (VMR) is a widely used surgical treatment for posterior pelvic organ prolapse; however, evidence of the utility of revisional surgery is lacking. Our aim was to assess the technical details, safety and outcomes of redo minimally invasive VMR for patients with external rectal prolapse (ERP) recurrence or relapsed symptoms of internal rectal prolapse (IRP). Methods This is a retrospective cohort study of patients with recurrent ERP or symptomatic IRP who underwent redo minimally invasive VMR between 2011 and 2016. The study was conducted at three hospitals in Finland. Data collected retrospectively included patient demographics, in addition to perioperative and short-term postoperative findings. At follow-up, all living patients were sent a questionnaire concerning postoperative disease-related symptoms and quality of life. Results A total of 43 redo minimally invasive VMR were performed during the study period. The indication for reoperation was recurrent ERP in 22 patients and relapsed symptoms of IRP in 21 patients. In most operations (62.8%), the previously used mesh was left in situ and a new one was placed. Ten (23.3%) patients experienced complications, including 2 (4.7%) mesh-related complications. The recurrence rate was 4.5% for ERP. Three patients out of 43 were reoperated on for various reasons. One patient required postoperative laparoscopic hematoma evacuation. Patients operated on for recurrent ERP seemed to benefit more from the reoperation. Conclusions Minimally invasive redo VMR appears to be a safe and effective procedure for treating posterior pelvic floor dysfunction with acceptable recurrence and reoperation rates.

scholarly journals Laparoscopic ventral mesh rectopexy in male patients with internal or external rectal prolapse

2016 ◽  
Vol 18 (12) ◽  
pp. 1189-1189
Author(s):  
A. E. Owais ◽  
H. Sumrien ◽  
K. Mabey ◽  
K. McCarthy ◽  
G. L. Greenslade ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Laparoscopic Ventral Mesh Rectopexy ◽  
Male Patients ◽  
External Rectal Prolapse ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

scholarly journals Laparoscopic Ventral Mesh Rectopexy (LVMR) - an Early Experience in Birdem Hospital

2018 ◽  
Vol 6 (2) ◽  
pp. 71-73
Author(s):  
Md Ezharul Haque Ratan ◽  
Hasina Alam
Keyword(s):  
Rectal Prolapse ◽  
Long Term Results ◽  
Perineal Pain ◽  
Absorbable Suture ◽  
Full Thickness ◽  
Abdominal Approach ◽  
Laparoscopic Ventral Mesh Rectopexy ◽  
Male Patients ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

Background : Full thickness rectal prolapse are treated by multiple procedures through perineal and abdominal approach. Consensus is lacking as to the best option. Each procedure is associated with significant recurrence rate.Objective : The aim of this study is to report the effectiveness, complications following laparoscopic ventral mesh rectopexy in patients with full thickness rectal prolapse.Methods : The study is a retrospective evaluation of 6 consecutive patients by a single attending surgeon in a general and laparoscopic surgery unit,between July 2014 to June 2016. Peritoneum was incised at the pouch of Douglas or rectovesical pouch, space created between the rectum and the vagina or urinary bladder, polypropylene mesh was fixed to the rectum with non-absorbable suture and to the promontory of the sacrum with same suture instead of staples. In females, the mesh was also fixed anteriorly with posterior fornix of vagina. The peritoneum was suture closed over the mesh. Patients were reviewed at 1 and 6 months, then annually to assess recurrence, morbidity and mortality.Result : There was no recurrence or mortality among four female and two male patients. Morbidity consistedof chronic deep perineal pain in one youngmale patient who was treated conservatively with oral analgesic.Conclusion : LVMR seems to emerge as a safe and effective procedure to treat full thickness rectal prolapse, but large series and long term results are needed and we are continuing the study for the same.Bangladesh Crit Care J September 2018; 6(2): 71-73

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