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Robot-assisted rectopexy and colpopexy for rectal prolapse
Kristie A Greene1, Jaime E Sanchez, Michael L Campbell
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL, USA, kgreene2@health.usf.edu.
International Urogynecology Journal
|December 3, 2013
Summary
This video shows a mesh-free surgical technique for robot-assisted rectopexy and colpopexy to treat rectal prolapse. The procedure effectively resolves rectal prolapse and provides pelvic floor support.
Area of Science:
- Surgical techniques
- Pelvic floor reconstructive surgery
- Minimally invasive surgery
Background:
- Rectal prolapse and vaginal vault prolapse often coexist.
- Mesh use in prolapse repair can have complications.
- Alternative mesh-free techniques are needed.
Observation:
- A 61-year-old woman with full-thickness rectal prolapse and fecal incontinence underwent the procedure.
- The technique combines rectopexy with colpopexy without mesh.
- Postoperative outcomes showed resolution of prolapse and good perineal support.
Findings:
- Robot-assisted rectopexy with colpopexy is effective for rectal prolapse without mesh.
- The procedure offers a viable alternative when mesh is contraindicated or undesired.
- Combined colpopexy provides additional pelvic floor support.
Implications:
- This mesh-free technique is a valuable surgical option for rectal prolapse.
- It addresses the challenge of coexisting rectal and vaginal prolapse.
- The approach enhances pelvic floor support and patient outcomes.
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