Thitithep Limvorapitak, MD, Ajjana Techagumpuch, MD, Jirawat Pattana-arun, MD. Chulalongkorn university
Introduction: Laparoscopic ventral mesh rectopexy is promising procedure for rectal prolapse and pelvic floor descend syndrome, but mesh complications are major concern in this technique. Tensor fascia lata had been used as autologous prosthesis for many reconstructive surgeries with good results, but there was no report of its used in rectal prolapse.
Objective: To evaluate the short-term outcome of using tensor fascia lata in laparoscopic ventral rectopexy
Method: Preliminary cases report of patients who had rectal prolapse and were treated with laparoscopic ventral rectopexy with tensor fascia lata in King Chulalongkorn Memorial hospital from 2013 to 2016
Results: 9 patients underwent laparoscopic ventral rectopexy with tensor fascia lata with median follow up time of 12 months. All patients had no recurrent rectal prolapse with improvement in constipation, incontinence and no major complications occurred.
Conclusion: The use of tensor fascia lata in laparoscopic ventral rectopexy is comparable to synthetic mesh, and may avoid the mesh complications. This technique could be considered as an effective alternative treatment for rectal prolapse, but long term results are needed.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79602
Program Number: P204
Presentation Session: Poster (Non CME)
Presentation Type: Poster