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Ventral rectopexy with biological mesh: short-term functional results

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  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

Ventral mesh rectopexy (VMR) is an established, minimally invasive, nerve-sparing procedure for the treatment of various symptomatic morphological changes in the posterior pelvic compartment. We present the short-term functional outcome and patient satisfaction after laparoscopic and robotic VMR with biological mesh.

Methods

We analyzed data from 123 patients who underwent laparoscopic ventral mesh rectopexy (LVMR) or robotic ventral mesh rectopexy (RVMR) from August 2012 to January 2017. Included in these data were patient demographics, intra- and postoperative findings, Cleveland Clinic Constipation Score (CCCS), Obstructed Defecation Score Longo (ODS), Cleveland Clinic Incontinence Score (CCIS), and patient satisfaction as measured by visual analog scale (0–10).

Results

Improvements in CCCS, CCIS, and ODS were statistically significant at 6 and 12 months (p < 0.001). Patient satisfaction was excellent at 6 and 12 months (8.2/10 and 8.3/10, respectively). The overall complication rate was 14%, with a major complication rate of 2%. No mesh-related complications were observed. The need for surgical re-intervention because of relapse, symptom persistence or recurrence, or new symptoms was 3%. Outcome appears to be similar between LVMR and RVMR.

Conclusions

Both LVMR and RVMR with biological mesh are safe and effective in reducing symptoms, as measured by CCCS, CCIS, and ODS, and patient satisfaction is high.

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Authors and Affiliations

  1. Department of General and Visceral Surgery, Friedrich Alexander University, Krankenhausstraße 12, 91054, Erlangen, Germany

    M. Brunner, R. Grützmann & K. E. Matzel

  2. Department of General and Visceral Surgery, Hospital Hallerwiese, St. Johannis Mühlgasse 19, Nürnberg, Germany

    H. Roth & K. Günther

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  1. M. Brunner
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  2. H. Roth
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  3. K. Günther
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  4. R. Grützmann
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Correspondence to K. E. Matzel.

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Conflict of interest

K.E. Matzel is medical adviser to Medtronic.

M. Brunner has received an honorarium for lecturing at a Medtronic workshop.

Statement of human rights

For this type of study, formal consent is not required.

Statement on the welfare of animals

This article does not contain any studies with animals performed by any of the authors.

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In this study, there is no identifying information of patients.

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Brunner, M., Roth, H., Günther, K. et al. Ventral rectopexy with biological mesh: short-term functional results. Int J Colorectal Dis 33, 449–457 (2018). https://doi.org/10.1007/s00384-018-2972-3

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  • DOI: https://doi.org/10.1007/s00384-018-2972-3

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