Combined rectopexy and sacrocolpopexy for multi compartment pelvic floor prolapse: better outcomes?_On Demand-Recording: Combined rectopexy and sacrocolpopexy for multi compartment pelvic floor prolapse: better outcomes?

Recording: Combined rectopexy and sacrocolpopexy for multi compartment pelvic floor prolapse: better outcomes?

Video Transcription

Video Summary

In this webinar, Dr. Wolfgang Gertner discusses combined rectopexy and sacro-copoplexy for multi-compartment pelvic floor disorders. He begins by discussing the keys to success in prolapse surgery, which include restoring normal anatomy and improving function and quality of life. Dr. Gertner highlights the limitations of posterior sutured rectopexy alone and perineal procedures, which are associated with high recurrence rates and poor anal rectal function. He emphasizes the importance of thinking about the pelvis in compartments and addressing multiple compartments at the same time. Dr. Gertner also discusses the use of mesh in these procedures, including synthetic and biologic mesh options. He mentions the risk of erosion and the importance of choosing the right material for each patient. When discussing outcomes, Dr. Gertner notes that ventral rectopexy has been associated with improvement in constipation and fecal incontinence, and that a combo approach with sacro-copopexy can further improve outcomes. He suggests that collaboration and a multidisciplinary approach are key to optimizing results. Dr. Gertner also provides some insight into the surgical technique, including the use of laparoscopic and robotic approaches. He concludes by discussing the importance of training and accreditation in ventral mesh rectopexy and the need for further research to address specific patient populations.

Keywords

combined rectopexy

sacro-copoplexy

pelvic floor disorders

prolapse surgery

mesh options

recurrence rates

anal rectal function

multidisciplinary approach

laparoscopic approach

ventral mesh rectopexy