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Robotic ventral mesh rectopexy for rectal prolapse: a single-institution experience.
C S Inaba1, S Sujatha-Bhaskar1, C Y Koh1
1Department of Colorectal Surgery, University of California Irvine Medical Center, Orange, CA, USA.
Robotic ventral mesh rectopexy (RVMR) is a safe and effective treatment for rectal prolapse. This study showed improved incontinence and constipation with low recurrence rates, supporting RVMR as a viable surgical option.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Outcomes Research
Background:
- Robotic ventral mesh rectopexy (RVMR) is increasingly considered for rectal prolapse treatment.
- Evaluating RVMR outcomes is crucial for establishing its efficacy and safety.
Purpose of the Study:
- To assess the clinical outcomes of robotic ventral mesh rectopexy (RVMR) in patients with rectal prolapse.
Main Methods:
- Retrospective chart review of patients undergoing RVMR for rectal prolapse between July 2012 and May 2016.
- Exclusion of cases involving colorectal resection or alternative rectopexy techniques.
Main Results:
- Of 24 patients, 95.8% were female, with a median age of 67.5 years.
- Median operative time was 191 minutes; median length of stay was 3 days.
- 3 patients (12.4%) experienced recurrence; significant improvements in fecal incontinence and constipation were observed.
Conclusions:
- RVMR is a feasible, safe, and effective treatment for rectal prolapse with low short-term morbidity.
- Further multicenter and long-term studies are warranted to fully evaluate RVMR benefits.
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