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Updated: Jun 23, 2026
03:43
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Systematic review on ventral rectopexy for rectal prolapse and intussusception
C B Samaranayake1, C Luo, A W Plank
1Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Summary
Ventral rectopexy (VR) surgery effectively treats rectal prolapse (RP) and rectal intussusception (RI), significantly reducing fecal incontinence and constipation with a low recurrence rate. VR without posterior mobilization offers greater constipation relief.
Area of Science:
- Colorectal surgery
- Gastroenterology
- Surgical innovation
Background:
- Rectal prolapse (RP) and rectal intussusception (RI) are debilitating conditions affecting adults.
- Ventral rectopexy (VR) is a surgical approach to address these conditions, with varying techniques.
- Assessing the efficacy of VR is crucial for optimizing patient outcomes.
Purpose of the Study:
- To systematically review the effectiveness of ventral rectopexy (VR) for treating rectal prolapse (RP) and rectal intussusception (RI) in adults.
- To evaluate the impact of VR on functional outcomes, including fecal incontinence and constipation.
- To determine the recurrence rates associated with VR.
Main Methods:
- A systematic literature search was conducted across MEDLINE, EMBASE, Scopus, and other databases.
- Included studies were randomized controlled trials or nonrandomized studies with over 10 patients undergoing VR.
- Data extraction focused on patient demographics, surgical techniques, and functional outcomes.
Main Results:
- Twelve nonrandomized case series involving 728 patients were analyzed.
- A weighted mean decrease of 45% in fecal incontinence (FI) and 24% in constipation was observed.
- The overall weighted mean recurrence rate was low, at 3.4%.
Conclusions:
- Available evidence suggests VR is effective in improving fecal incontinence and has a low recurrence rate for RP and RI.
- Ventral rectopexy without posterior rectal mobilization may lead to a greater reduction in postoperative constipation.
- Further high-quality research is needed to fully elucidate the long-term outcomes and optimal techniques for VR.
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