2.50
Hdl Handle:
http://hdl.handle.net/11287/593895
Title:
Rectopexy for Rectal Prolapse
Authors:
Alam, Nasra N; Narang, Sunil K. ( 0000-0001-5151-7569 ) ; Kockerling, F.; Daniels, Ian R. ( 0000-0002-9114-0812 ) ; Smart, Neil J. ( 0000-0002-3043-8324 )
Abstract:
INTRODUCTION: Ventral mesh rectopexy (VMR) is a recognized treatment for posterior compartment pelvic organ prolapse (POP). The aim of this review is to provide a synopsis of the evidence for biological mesh use in VMR, the most widely recognized surgical technique for posterior compartment POP. METHODS: A systematic search of PubMed was conducted using the search terms "VMR," "ventral mesh rectopexy," or "mesh rectopexy." Six studies were identified. RESULTS: About 268/324 patients underwent ventral rectopexy using biological mesh with a further 6 patients having a combination of synthetic and biological mesh. Recurrence was reported in 20 patients; however, 6 were from studies where data on biological mesh could not be extracted. There are no RCTs in VMR surgery and no studies have directly compared types of biological mesh. Cross-linked porcine dermal collagen is the most commonly used mesh and has not been associated with mesh erosion, infection, or fistulation in this review. The level of evidence available on the use of biological mesh in VMR is of low quality (level 4). CONCLUSION: Ventral mesh rectopexy has become prevalent for posterior compartment POP. The evidence base for its implementation is not strong and the quality of evidence to inform choice of mesh is poor.
Citation:
Front Surg. 2015;2:54
Publisher:
Frontiers in Surgery
Journal:
Frontiers in surgery
Issue Date:
19-Oct-2015
URI:
http://hdl.handle.net/11287/593895
DOI:
10.3389/fsurg.2015.00054
PubMed ID:
26539438
Additional Links:
http://dx.doi.org/10.3389/fsurg.2015.00054
Note:
This article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.
Type:
Journal Article; Systematic review
Language:
eng
ISSN:
2296-875X
Appears in Collections:
2015 RD&E publications; HeSRU publications

Full metadata record

DC FieldValue Language
dc.contributor.authorAlam, Nasra Nen
dc.contributor.authorNarang, Sunil K.en
dc.contributor.authorKockerling, F.en
dc.contributor.authorDaniels, Ian R.en
dc.contributor.authorSmart, Neil J.en
dc.date.accessioned2016-01-19T12:36:58Zen
dc.date.available2016-01-19T12:36:58Zen
dc.date.issued2015-10-19en
dc.identifier.citationFront Surg. 2015;2:54en
dc.identifier.issn2296-875Xen
dc.identifier.pmid26539438en
dc.identifier.doi10.3389/fsurg.2015.00054en
dc.identifier.urihttp://hdl.handle.net/11287/593895en
dc.description.abstractINTRODUCTION: Ventral mesh rectopexy (VMR) is a recognized treatment for posterior compartment pelvic organ prolapse (POP). The aim of this review is to provide a synopsis of the evidence for biological mesh use in VMR, the most widely recognized surgical technique for posterior compartment POP. METHODS: A systematic search of PubMed was conducted using the search terms "VMR," "ventral mesh rectopexy," or "mesh rectopexy." Six studies were identified. RESULTS: About 268/324 patients underwent ventral rectopexy using biological mesh with a further 6 patients having a combination of synthetic and biological mesh. Recurrence was reported in 20 patients; however, 6 were from studies where data on biological mesh could not be extracted. There are no RCTs in VMR surgery and no studies have directly compared types of biological mesh. Cross-linked porcine dermal collagen is the most commonly used mesh and has not been associated with mesh erosion, infection, or fistulation in this review. The level of evidence available on the use of biological mesh in VMR is of low quality (level 4). CONCLUSION: Ventral mesh rectopexy has become prevalent for posterior compartment POP. The evidence base for its implementation is not strong and the quality of evidence to inform choice of mesh is poor.en
dc.language.isoengen
dc.publisherFrontiers in Surgeryen
dc.relation.urlhttp://dx.doi.org/10.3389/fsurg.2015.00054en
dc.titleRectopexy for Rectal Prolapseen
dc.typeJournal Articleen
dc.typeSystematic reviewen
dc.identifier.journalFrontiers in surgeryen
dc.description.noteThis article is available via Open Access. Please click on the 'Additional Link' above to access the full-text.en

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