Short-term results for laparoscopic ventral rectopexy using biological mesh for pelvic organ prolapse

Aim  There is growing evidence that laparoscopic ventral rectopexy (LVR) is an effective treatment for pelvic organ prolapse and obstructive defaecation caused by rectocele. LVR is usually performed using synthetic mesh despite concerns about mesh erosion. We present our experience of using a porcin...

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Bibliographic Details
Published in:Colorectal disease 2012-10, Vol.14 (10), p.1242-1247
Main Authors: Wahed, S., Ahmad, M., Mohiuddin, K., Katory, M., Mercer-Jones, M.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Collagen
Constipation - etiology
Fecal Incontinence - etiology
Female
Follow-Up Studies
Humans
Laparoscopic ventral rectopexy
Laparoscopy - instrumentation
Laparoscopy - methods
Length of Stay - statistics & numerical data
Middle Aged
Patient Satisfaction - statistics & numerical data
Pelvic Organ Prolapse - complications
Pelvic Organ Prolapse - surgery
Permacol
Postoperative Complications - epidemiology
Prospective Studies
rectocele
Rectum - surgery
Recurrence
Surgical Mesh
Treatment Outcome
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Summary:Aim  There is growing evidence that laparoscopic ventral rectopexy (LVR) is an effective treatment for pelvic organ prolapse and obstructive defaecation caused by rectocele. LVR is usually performed using synthetic mesh despite concerns about mesh erosion. We present our experience of using a porcine dermal collagen mesh (Permacol™) for LVR, which is the largest such case series to date. Method  Data on 65 patients were collected prospectively from May 2008 to October 2010. Outcome measures were complications, recurrence, length of hospital stay, patient satisfaction, Wexner constipation score and Wexner incontinence score. Preoperative and postoperative scores were compared using the two‐tailed Wilcoxon signed rank test. P 
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2011.02921.x