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Updated: Jul 6, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic ventral rectopexy for obstructed defecation syndrome.

J W van den Esschert¹, A A W van Geloven, N Vermulst

¹Department of Surgery, Tergooi Ziekenhuizen, Van Riebeeckweg 212, Hilversum, 1213 XZ, The Netherlands. j.w.vandenesschert@amc.uva.nl

Surgical Endoscopy

|March 6, 2008

Summary

Laparoscopic nerve sparing ventral rectopexy effectively treats obstructed defecation syndrome, even with enterocele. Most patients experienced improved bowel function, demonstrating this surgical approach

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Last Updated: Jul 6, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Area of Science:

Colorectal Surgery
Minimally Invasive Surgery
Pelvic Floor Disorders

Background:

Obstructed defecation syndrome (ODS) presents significant challenges.
Concomitant enterocele complicates treatment choices due to potential bowel injury risks.

Purpose of the Study:

To evaluate the outcomes of laparoscopic nerve-sparing ventral rectopexy in patients with ODS and enterocele.

Main Methods:

Seventeen patients with ODS and enterocele underwent laparoscopic ventral rectopexy.
Data collected included clinical history, physical examination, defecogram, operative details, complications, and long-term outcomes.

Main Results:

Fifteen of seventeen patients showed improvement in defecation, with some residual minor constipation.
Postoperative complications occurred in six patients; one mesh rejection required removal.
Median hospital stay was 6 days, with one conversion to laparotomy.

Conclusions:

Laparoscopic ventral rectopexy is a viable surgical option for selected ODS patients with enterocele.
The procedure offers an acceptable complication profile for this complex patient group.