Laparoscopic sacrocolpopexy with ventral rectopexy for concomitant pelvic prolapse and rectal prolapse -Surgical technique and short-term outcomes-

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  • 骨盤臓器脱を合併した直腸脱に対する腹腔鏡下仙骨腟固定・直腸腹側固定術の手術手技と短期成績

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Abstract

<p>Objective: To evaluate the short-term outcomes of laparoscopic sacrocolpopexy with ventral rectopexy (LSCVR) for concomitant pelvic organ prolapse and rectal prolapse.</p><p>Method: Using the laparoscopic technique, the ventral side of the rectum and the anterior vaginal wall/uterine cervix were anchored to the L5S1 anterior longitudinal ligament with mesh.</p><p>Outcome: Fifty-six cases of LSCVR were performed between July 2015 and April 2023. The median age was 80 (range was 43-94) years, operative time 190 (range 106-338) min, and blood loss 0 (range 0-125) ml. Perioperative complications (Clavien-Dindo gradeⅢ or higher) occurred in 2 patients (3.6%); 2 (3.6%) recurrences were observed.</p><p>Conclusion: We found relatively positive results regarding LSCVR with elderly patients (short-term). This procedure appears to be a viable option for concomitant pelvic prolapse and rectal prolapse in cases where general anesthesia is applicable for transabdominal surgery.</p>

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