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Rectocele repair using biomaterial augmentation: current documentation and clinical experience
Daniel Altman1, Anders Mellgren, Jan Zetterström
1Pelvic Floor Center, Division of Obstetrics and Gynecology, The Karolinska Institute at Danderyd Hospital, 182-88 Stockholm, Sweden. daniel.altman@ds.se
Obstetrical & Gynecological Survey
|October 28, 2005
Summary
Biomaterials in rectocele repair are increasingly used, but evidence on their effectiveness and complications is limited. Further clinical studies are needed to prove benefits and understand risks.
Area of Science:
- Pelvic reconstructive surgery
- Biomaterials in surgery
Background:
- Rectocele etiology is debated.
- Surgical innovations aim to improve outcomes and reduce difficulties.
- Biomaterial use in rectocele repair is widespread but lacks extensive documentation.
Purpose of the Study:
- Outline principles of biomaterial use in pelvic reconstructive surgery.
- Condense peer-reviewed articles on clinical biomaterial use in rectocele repair.
- Discuss historical and new concepts in rectocele surgery.
Main Methods:
- Electronic search of Medline and Cochrane databases (1964-2005).
- Inclusion of English language publications on rectocele repair with biomaterials.
- Review of articles on clinical use, compatibility, risks, and complications.
Main Results:
- Biomaterial use in rectocele repair is growing rapidly.
- Clinical documentation on effectiveness and complications is limited.
- Potential risks and complications associated with biomaterials are described.
Conclusions:
- Biomaterials offer possibilities in rectocele and prolapse surgery.
- Treatment costs may increase with biomaterial use.
- Unknown short- and long-term complications and unproven clinical benefits necessitate further research.