Academic Journal

Minimally invasive ventral mesh rectopexy.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Minimally invasive ventral mesh rectopexy.
Συγγραφείς: Ahmed M; Department of Surgery, Mid- and West-Zealand Hospital, Slagelse, Denmark., Perdawood SK; Department of Surgery, Mid- and West-Zealand Hospital, Slagelse, Denmark.
Πηγή: Danish medical journal [Dan Med J] 2026 May 20; Vol. 73 (6). Date of Electronic Publication: 2026 May 20.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Danish Medical Association Country of Publication: Denmark NLM ID: 101576205 Publication Model: Electronic Cited Medium: Internet ISSN: 2245-1919 (Electronic) Linking ISSN: 22451919 NLM ISO Abbreviation: Dan Med J Subsets: MEDLINE
Imprint Name(s): Original Publication: Copenhagen : Danish Medical Association
Ιατρικοί όροι (MeSH): Rectal Prolapse*/surgery , Laparoscopy*/methods , Robotic Surgical Procedures*/methods , Surgical Mesh*, Postoperative Complications/epidemiology ; Minimally Invasive Surgical Procedures/methods ; Humans ; Female ; Retrospective Studies ; Aged ; Recurrence ; Aged, 80 and over ; Middle Aged ; Treatment Outcome ; Operative Time ; Colorectal Surgical Procedures
Περίληψη: Introduction: Rectal prolapse significantly impairs the quality of life, particularly in elderly women. Minimally invasive ventral mesh rectopexy (VMR) has emerged as a preferred surgery, offering anatomical correction and improved post-operative outcomes. This study evaluated operative details, complications and recurrence rates following laparoscopic VMR (LVMR) and robotic VMR (RVMR) at a single tertiary care centre over a five-year period.
Methods: A retrospective analysis of patients undergoing LVMR or RVMR between 2019 and 2024 was conducted. The two groups were compared with respect to demographics, intraoperative details, post-operative complications, recurrence and long-term functional outcomes.
Results: A total of 88 patients had undergone VMR, of whom 69 underwent RVMR; 19 underwent LVMR. All patients were female with a median age of 74 years. External prolapse was observed in 97.7% of the patients, whereas only 2.3% had internal prolapse. No statistically significant difference was observed between LVMR and RVMR with regard to length of stay or mean operative time. The conversion rate was 0%. Post-operative complications were classified according to Clavien-Dindo (CD); six patients had a CD IIIb, requiring return to surgical theatres. A single patient from the RVMR group had a recurrence after one year.
Conclusions: Minimally invasive VMR is a long-term, effective and safe surgical method for rectal prolapse, with a low recurrence rate, a relatively low complication rate and a significant improvement in functional outcomes.
Funding: None.
Trial Registration: Not relevant.
(Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.)
Entry Date(s): Date Created: 20260611 Date Completed: 20260614 Latest Revision: 20260622
Update Code: 20260622
DOI: 10.61409/A11250903
PMID: 42273863
Βάση Δεδομένων: MEDLINE