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Transabdominal levatorplasty technique in laparoscopic mesh rectopexy for rectal prolapse.
Tech Coloproctol
August 2024
Department of Surgery, Japanese Red Cross Osaka Hospital, 5-30, Fudegasakicho, Tennouji-Ku, Osaka, 543-8555, Japan.
Rectal prolapse is characterized by a full-thickness intussusception of the rectal wall and is associated with a spectrum of coexisting anatomic abnormalities. We developed the transabdominal levatorplasty technique for laparoscopic rectopexy, inspired by Altemeier's procedure. In this method, following posterior mesorectum dissection, we expose the levator ani muscle just behind the anorectal junction.
View Article and Find Full Text PDFRecurrence Rates and Risk Factors in the Altemeier Procedure for Rectal Prolapse: A Multicenter Study.
Dis Colon Rectum
November 2024
Department for Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland Ohio.
Background: Perineal proctosigmoidectomy (Altemeier) is a surgical procedure that is commonly used for the treatment of rectal prolapse. However, there is a diverse range of recurrence rates after Altemeier procedure repair that has been reported in the literature.
Objective: To identify primary and subsequent recurrence rates after perineal proctosigmoidectomy and to define potential risk factors for recurrence.
Outcomes of Laparoscopic Suture Rectopexy Versus Laparoscopic Mesh Rectopexy: A Systematic Review and Meta-Analysis.
Cureus
June 2024
Department of General Surgery, All India Institute of Medical Sciences, Bhopal, IND.
The contemporary literature provides conflicting evidence regarding the precedence of laparoscopic mesh rectopexy over laparoscopic suture rectopexy for full-thickness rectal prolapse. This study aimed to compare the clinical outcomes of mesh and suture rectopexy to improve the surgical management of complete rectal prolapse. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to extract studies based on mesh versus suture rectopexy and published from 2001 to 2023.
View Article and Find Full Text PDFBackground: Obstructive defecation syndrome (ODS) is frequently associated with pelvic organ prolapse (POP) and compromises the quality of life in affected patients. In cases conservative treatment fails surgical therapy is required.
Objectives: The video case study combines a laparoscopic resection rectopexy (RRP) with a mesh sacrocolpopexy (SCP) in an interdisciplinary surgical approach.
Could robotic-assisted surgery reduce mesh-related complications after ventral mesh rectopexy? Experience of a tertiary centre and systematic review of the literature.
Colorectal Dis
April 2024
Proctology and Perineal Surgical Unit, Cisanello University Hospital, Pisa, Italy.
Aim: The development of robotic assistance has made dissection and suturing in the deep pelvis much easier. The augmented quality of the images and the articulation of the robotic arms have also enabled a more precise dissection. The aim of this study is to present the data on robotic-assisted ventral mesh rectopexy procedures in a university hospital and examine the literature in terms of mesh erosion.
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