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Knot free technique for Laparoscopic Ventral Mesh Rectopexy.

Hammad Zaidi1, Ajay Gupta1, Niraj Khetan1

  • 1Doncaster and Bassetlaw Hospitals NHS Trust, UK.

Annals of Medicine and Surgery (2012)
|June 27, 2017
PubMed
Summary

A new Laparoscopic Ventral Mesh Rectopexy (VMR) technique uses endo clips for mesh fixation, avoiding knots and saving time. This safe method shows potential for replacing conventional suturing with a minimal learning curve.

Keywords:
Knot freeLaparoscopicMeshRectopexyVentral

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic Ventral Mesh Rectopexy (VMR) is a surgical procedure for rectal prolapse.
  • Traditional VMR involves knot-tying for mesh fixation, which can be time-consuming.
  • Alternative mesh fixation methods are sought to improve surgical efficiency.

Purpose of the Study:

  • To describe and assess a novel endo clip-based mesh fixation technique for VMR.
  • To evaluate the safety and efficacy of this knotless suturing method.
  • To compare operative time and learning curve with conventional VMR.

Main Methods:

  • A systematic literature search identified no prior use of this technique.
  • Five VMR procedures were performed using endo clips for mesh fixation.
  • Patients with full-thickness rectal prolapse underwent the novel laparoscopic procedure.

Main Results:

  • Median follow-up was 8 months (range 5-11 months).
  • No major complications were reported in any patient.
  • No recurrence of rectal prolapse was observed during the follow-up period.

Conclusions:

  • The endo clip mesh fixation technique for VMR is safe in this small cohort.
  • This method offers a potential alternative to traditional suturing, reducing operative time.
  • The technique demonstrates a minimal learning curve, facilitating adoption.