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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

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Resection Rectopexy Is Still an Acceptable Operation for Rectal Prolapse.

Maria Emília Carvalho E Carvalho, Tracy Hull, Massarat Zutshi

The American Surgeon

|October 1, 2018

Summary

Resection rectopexy (RR) and ventral mesh rectopexy (VMR) show similar outcomes for rectal prolapse treatment. Both surgical techniques demonstrated comparable complication and recurrence rates in this comparative study.

Area of Science:

Colorectal surgery
Surgical outcomes research
Pelvic floor disorders

Background:

Rectal prolapse is a condition requiring surgical intervention.
Resection rectopexy (RR) and ventral mesh rectopexy (VMR) are surgical options for rectal prolapse.
Comparative data on the efficacy and safety of RR versus VMR is essential for clinical decision-making.

Purpose of the Study:

To compare the complication and prolapse recurrence rates between resection rectopexy (RR) and ventral mesh rectopexy (VMR).
To evaluate the long-term outcomes of RR and VMR in patients with rectal prolapse.

Main Methods:

Retrospective study comparing patients who underwent RR or VMR between 2009 and 2016.
Propensity score matching was utilized to control for baseline differences between the groups.
Primary endpoints included complications and prolapse recurrence rates, with median follow-up and time to recurrence analyzed.

Main Results:

No significant differences in complications or recurrence rates were observed between the RR and VMR groups (10.2% vs 10.1%, P = 0.43).
VMR patients had higher BMI and poorer physical status, but also utilized robotic approaches more frequently and had shorter hospital stays.
Median follow-up and time to recurrence were similar between the two surgical techniques.

Conclusions:

Neither resection rectopexy nor ventral mesh rectopexy demonstrated superiority in terms of complications or recurrence rates for rectal prolapse treatment.
The choice of surgical technique may depend on patient-specific factors and surgeon preference, as outcomes were comparable.
Further research may be needed to explore nuances in patient selection and long-term functional outcomes.

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