Approaching Combined Rectal and Vaginal Prolapse

Shannon Wallace; Brooke Gurland

doi:10.1055/s-0041-1726351

Clinics in Colon and Rectal Surgery, Inhaltsverzeichnis

Clin Colon Rectal Surg 2021; 34(05): 302-310
DOI: 10.1055/s-0041-1726351

Review Article

Approaching Combined Rectal and Vaginal Prolapse

Shannon Wallace

¹Urogynecology/Department of Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Urogynecology), Women's Health Institute, Cleveland, Ohio

,

Brooke Gurland

¹Urogynecology/Department of Obstetrics and Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Urogynecology), Women's Health Institute, Cleveland, Ohio

²Department of Surgery, Stanford Pelvic Health Center, Stanford University, Stanford, California

› Institutsangaben

Abstract

Combined rectal prolapse and pelvic organ prolapse surgery provides significant quality-of-life benefits with improvements in bothersome symptoms of pain, bulge, constipation, urinary retention, as well as bowel and bladder incontinence. Robotic surgery is the ideal tool for a combined surgical repair. It allows enhanced suturing in the deep pelvis, three-dimensional (3D) visualization of the presacral space and easy mobilization of the rectum and dissection of the vagina. Combined procedures can be offered to patients with the advantages of a single operation and concurrent recovery period without increasing complications. In this article, we highlight our approach to combined prolapse repair.

Keywords

robotic rectopexy and sacrocolpopexy - rectal prolapsed - pelvic organ prolapsed - ventral rectopexy - sacrocolpopexy - multidisciplinary pelvic floor approach

Volltext

Referenzen

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