"Wrap technique": a new operative procedure using a self-adhesive prosthesis for laparoscopic ventral rectopexy

Area of Science:

• Gastroenterology
• Surgical Innovation
• Medical Devices

Background:

• Laparoscopic ventral rectopexy (LVR) is a surgical procedure for rectal prolapse.
• Current fixation methods may involve stitches or staples.
• A novel, stitchless fixation method using a self-adhesive prosthesis was developed.

Purpose of the Study:

• To describe and assess a new self-adhesive prosthesis (Adhesix™) for LVR.
• To evaluate the effectiveness and safety of this novel fixation technique.

Main Methods:

• The Adhesix™ prosthesis, made of polypropylene with a synthetic hydrogel coating, utilizes adhesive properties for rectal fixation.
• The technique involves minimal dissection and application of the prosthesis in a wet environment, creating a 'wrap effect'.
• A cohort of 41 patients underwent LVR with the self-adhesive prosthesis between March 2010 and March 2013; 27 with complete rectal prolapse were assessed for fixation effectiveness.

Main Results:

• Median follow-up was 30 months.
• No major complications were reported.
• No recurrence of rectal prolapse was observed in the evaluated subset.
• No undesirable effects associated with the prosthesis were noted.

Conclusions:

• Laparoscopic ventral rectopexy with the self-adhesive prosthesis (Adhesix™) appears to be a safe and effective fixation method.
• This technique does not increase the risk of recurrence in the initial experience.
• The self-adhesive prosthesis offers a stitchless and stapless alternative for LVR.