Functional and Sexual Outcomes After Laparoscopic Ventral Mesh Rectopexy for Complex Rectocele
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mansoura University
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- changes in the Wexner constipation score
Study Overview
Brief Summary
The ideal surgical strategy for treating complex rectocele remains a topic for debate, with the transanal, transperineal, and transvaginal approach and the abdominal approach being at conflict with one another. While the transvaginal repair is more popular among gynecologists, the trans abdominal approach has become increasingly common among colorectal surgeons, in part due to the rising demand for minimally invasive surgery.
Detailed Description
For the treatment of rectoceles and ODS in general, the laparoscopic method has recently come to light as a promising alternative.
Laparoscopic ventral mesh rectopexy (LVMR) was originally described for the management of rectal prolapse. However, It was also recommended with encouraging results for the treatment of large symptomatic rectocele.
The present study aims to evaluate the safety and efficacy of LVMR for complex rectocele.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 30 Years to 60 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •multiparous female patients.
- •aged between 30 and 60 years
- •who were diagnosed with complex anterior rectocele- more than 3cm after failed medical treatment- with history of either vaginal delivery or caesarian section.
- •complex rectocele was one having any of the following features: size > 3 cm in diameter, associated enterocoele or internal rectal prolapse
Exclusion Criteria
- •paradoxical contraction of puborectalis muscle (anismus),
- •complete external rectal prolapse
- •fecal incontinence
- •other benign anal conditions
- •those who are unfit for surgery due to associated severe co-morbidities
Arms & Interventions
laparoscopic ventral mesh rectopexy arm
those who were underwent laparoscopic ventral mesh rectopexy for rectocele.
Intervention: laparoscopic ventral mesh rectopexy (Procedure)
Outcomes
Primary Outcomes
changes in the Wexner constipation score
Time Frame: 6 months
improvement in constipation, if the score is decreasing this means improving
Secondary Outcomes
- sexual function changes(6 months)
Investigators
Ahmad Sakr
consultant and lecturer of general surgery
Mansoura University