{"id":5430,"date":"2019-05-31T13:49:54","date_gmt":"2019-05-31T12:49:54","guid":{"rendered":"http:\/\/www.library.sath.nhs.uk\/research\/?p=5430"},"modified":"2019-06-05T14:43:35","modified_gmt":"2019-06-05T13:43:35","slug":"the-safety-and-efficacy-of-laparoscopic-ventral-mesh-rectopexy-can-excellent-outcomes-be-achieved-in-a-district-general-2018","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2019\/05\/31\/the-safety-and-efficacy-of-laparoscopic-ventral-mesh-rectopexy-can-excellent-outcomes-be-achieved-in-a-district-general-2018\/","title":{"rendered":"The safety and efficacy of laparoscopic ventral mesh rectopexy - Can excellent outcomes be achieved in a district general (2018)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Yassin N.A.; *Orfanos G.; *Farquharson A.L.; *Lacy-Colson J.C.H.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nSurgical Endoscopy; Dec 2018; vol. 32; Supplement 2, p. S553<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nIntroduction: Laparoscopic ventral mesh rectopexy (VMR) is a popular treatment for symptoms of obstructive\u00a0defecation in patients suffering with rectal prolapse and rectorectal intussusception. The procedure is\u00a0technically challenging and may result in serious complications, such as mesh erosions. This study examines the clinical and functional outcomes of patients undergoing VMR in a district general hospital.<br \/>\nMethod(s): A retrospective analysis was made of a prospectively maintained database of all laparoscopic VMR\u00a0procedures. All cases performed by 2 surgeons between February 2012 and June 2016 were included. Length\u00a0of stay, post-operative complications and functional outcomes were assessed.<br \/>\nResult(s): One hundred patients underwent a laparoscopic VMR procedure during the study period. The mean\u00a0age was 59.7 years. Nineteen of the patients had external prolapse and 81 had functional bowel symptoms with internal prolapse (rectocele and\/or intussusception) as demonstrated on proctography. Pre-operative\u00a0investigations and pelvic floor multi-disciplinary team (MDT) discussions were performed in all cases. Forty\u00a0percent of patients had previous pelvic surgery. In the external prolapse group there were 2\/19 recurrences\u00a0(10%). Functional improvement was reported in 96% of the patients. There was only 1 mesh complication (1%).<br \/>\nConclusion(s): Laparoscopic VMR is an effective and safe procedure for the treatment of symptoms of\u00a0obstructive defecation. This procedure can be safely performed in the district general hospital setting with\u00a0excellent clinical and functional outcomes. Thorough preoperative investigations, MDT discussions and\u00a0standardisation of the surgical technique lead to excellent outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Yassin N.A.; *Orfanos G.; *Farquharson A.L.; *Lacy-Colson J.C.H. Citation: Surgical Endoscopy; Dec 2018; vol. 32; Supplement 2, p. S553 Abstract: Introduction: Laparoscopic ventral mesh rectopexy (VMR) is a popular treatment for symptoms of obstructive\u00a0defecation<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2019\/05\/31\/the-safety-and-efficacy-of-laparoscopic-ventral-mesh-rectopexy-can-excellent-outcomes-be-achieved-in-a-district-general-2018\/\">Read more <span class=\"screen-reader-text\">The safety and efficacy of laparoscopic ventral mesh rectopexy - Can excellent outcomes be achieved in a district general (2018)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[768,816,853],"class_list":["post-5430","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-768","tag-gastrointestinal-surgery","tag-rectum"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=5430"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5430\/revisions"}],"predecessor-version":[{"id":5477,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/5430\/revisions\/5477"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=5430"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=5430"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=5430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}