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Related Concept Videos

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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Rectopexy for Rectal Prolapse.

Nasra N Alam1, Sunil K Narang1, Ferdinand Köckerling2

  • 1Exeter Surgical Health Services Research Unit (HeSRU), Royal Devon and Exeter Hospital , Exeter , UK.

Frontiers in Surgery
|November 6, 2015
PubMed
Summary
This summary is machine-generated.

Ventral mesh rectopexy (VMR) is common for posterior pelvic organ prolapse (POP). However, evidence for biological mesh use in VMR is limited and of low quality, necessitating further research.

Keywords:
biological meshmesh rectopexypelvic organ prolapsevMRventral mesh rectopexy

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Area of Science:

  • Urogynecology
  • Pelvic Floor Surgery

Background:

  • Ventral mesh rectopexy (VMR) is a surgical technique for posterior compartment pelvic organ prolapse (POP).
  • Biological mesh is frequently used in VMR procedures.

Purpose of the Study:

  • To review the existing evidence on the use of biological mesh in ventral mesh rectopexy (VMR) for posterior compartment POP.

Main Methods:

  • A systematic literature search was performed on PubMed using relevant keywords.
  • Six studies met the inclusion criteria for the review.

Main Results:

  • Over 300 patients underwent VMR with biological mesh, with a recurrence rate of approximately 6%.
  • Cross-linked porcine dermal collagen is the most common biological mesh, with no reported mesh complications.
  • The overall quality of evidence for biological mesh in VMR is low (Level 4).

Conclusions:

  • Ventral mesh rectopexy (VMR) is a prevalent treatment for posterior compartment POP.
  • The current evidence base supporting VMR and guiding biological mesh selection is weak and of poor quality.