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Related Experiment Video

Updated: Jan 15, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

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2025 Delphi consensus on robotic ventral mesh rectopexy.

Carlo Alberto Schena1,2, Simona Ascanelli3, Ugo Grossi4

  • 1Department of Surgery, Fondazione Poliambulanza, Brescia, Italy.

International Journal of Colorectal Disease
|October 16, 2025
PubMed

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Summary
This summary is machine-generated.

This Delphi consensus provides standardized recommendations for robotic ventral mesh rectopexy (RVMR) to improve rectal prolapse (RP) treatment. It addresses preoperative evaluation, surgical techniques, and patient selection, despite varying evidence quality.

Area of Science:

  • Minimally Invasive Surgery
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Robotic ventral mesh rectopexy (RVMR) is an effective treatment for rectal prolapse (RP) and related pelvic floor disorders.
  • Current practice shows variability in preoperative assessment, patient selection, and surgical techniques for RVMR.
  • Gaps in the literature necessitate evidence-based recommendations for standardization.

Purpose of the Study:

  • To establish a consensus-based framework for RVMR.
  • To standardize preoperative evaluation, patient selection, and procedural techniques.
  • To enhance patient outcomes in RP management.

Main Methods:

  • A structured Delphi process involving 33 RVMR experts.
  • Iterative surveys, literature reviews, and rigorous voting using the GRADE approach.
Keywords:
Minimally invasive surgeryPosterior pelvic floor disordersRectal prolapseRobotic surgeryRobotic ventral mesh rectopexy

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  • Addressing 10 key clinical questions regarding RVMR.

    • Main Results:

    • 27 consensus statements were developed, offering standardized recommendations.
    • Recommendations cover patient selection, imaging, surgical technique (trocar placement, instrument choice, docking), mesh use, and combined procedures.
    • Evidence quality varied, with 11.1% moderate, 66.7% low/very-low, and 22.2% expert opinion.

    Conclusions:

    • The consensus provides a structured framework for RVMR practice.
    • It aims to promote standardization and quality improvement in RP management.
    • The need for further high-quality evidence is acknowledged.