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Clinical Outcome and Surgical Technique of Laparoscopic Posterior Rectopexy Using the Mesh With Anti-adhesion Coating

Matsuda, Yasunori MD, PhD; Nishikawa, Masahiro MD; Nishizawa, Satoshi MD; Yane, Yoshinori MD; Ushijima, Hokuto MD; Tokuhara, Taigo MD, PhD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: August 2019 - Volume 29 - Issue 4 - p e41–e44
doi: 10.1097/SLE.0000000000000651
Online Articles: Technical Reports
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We herein present an innovative technique of laparoscopic posterior mesh rectopexy (LPMR) for full-thickness rectal prolapse and report the clinical outcomes in our institution. Ten consecutive patients who were treated with our latest LPMR technique using mesh with an anti-adhesion coating from June 2014 to May 2017 were retrospectively analyzed. All patients were women with a mean age of 63.6 years (range, 39 to 82 y). The median operative time and blood loss volume were 197.5 minutes (range, 156 to 285 min) and 0 mL (range, 0 to 152 mL), respectively. No perioperative complications occurred, including surgical site infection, pneumonia, urinary dysfunction, and intestinal obstruction. The median follow-up duration was 768 days (range, 396 to 1150 d). During the follow-up, the cumulative incidence of full-thickness rectal prolapse and any mesh-related complications was 0. It may be possible to eliminate retroperitoneal closure using a mesh with an anti-adhesion coating. Our LPMR technique appears safe and acceptable.

Department of Surgery, Asakayama General Hospital, Sakai, Osaka, Japan

The authors declare no conflicts of interest.

Reprints: Yasunori Matsuda, MD, PhD, Department of Surgery, Asakayama General Hospital, 3-3-16 Imaike-cho, Sakai-ku, Sakai, Osaka 590-0018, Japan (e-mail: m1293311@msic.med.osaka-cu.ac.jp).

Received July 31, 2018

Accepted January 18, 2019

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