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The Role of Robotic Surgery in Rectal Prolapse

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Pelvic Floor Disorders

Abstract

The incidence of pelvic floor disorders has been rapidly increasing in the last decades. Surgical management and repair techniques have evolved with the introduction of laparoscopic ventral mesh rectopexy (LVMR), which has become the favored treatment for rectal prolapse for many of surgeons around the world.

The introduction of robotic surgery in pelvic surgery has allowed for the improvement in physician comfort and improved precision in the pelvic dissection. Robotic ventral mesh rectopexy (RVMR) is associated with low rate of short-term complications, similar functional outcomes, and a more surgeon-friendly approach to confined spaces of the pelvis and repair of rectal prolapse. RVMR appears to be a safe, successful, and quite promising surgical alternative for patients with rectal prolapse, but more long-term studies are needed.

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References

  1. Classic articles in colonic and rectal surgery. Edmond Delorme 1847-1929. On the treatment of total prolapse of the rectum by excision of the rectal mucous membranes or recto-colic. Dis Colon Rectum 1985;28:544–553.

    Google Scholar 

  2. Makineni H, Thejeswi P, Rai BK. Evaluation of clinical outcomes after abdominal Rectopexy and Delorme’s procedure for rectal prolapse: a prospective study. J Clin Diagn Res. 2014;8:NC04–7.

    Google Scholar 

  3. Jacobs LK, Lin YJ, Orkin BA. The best operation for rectal prolapse. Surg Clin North Am. 1997;77:49–70.

    Article  CAS  Google Scholar 

  4. Wassef R, Rothenberger DA, Goldberg SM. Rectal prolapse. Curr Probl Surg. 1986;23:397–451.

    Article  CAS  Google Scholar 

  5. Peters WA III, Smith MR, Drescher CW. Rectal prolapse in women with other defects of pelvic floor support. Am J Ostet Gynecol. 2001;184(7):1488–94; discussion 1494–5.

    Article  Google Scholar 

  6. Glagow SC, Birnbaum EH, Kodner IJ, Fleshman JW, Dietz DW. Preoperative anal manometry predicts continence after perineal proctectomy for rectal prolapse. Dis Colon Rectum. 2006;49(7):1052–8.

    Article  Google Scholar 

  7. Snooks SJ, Henry MM, Swash M. Anorectal incontinence and rectal prolapse: differential assessment of the innervation to puborectalis and external anal sphincter muscles. Gut. 1985;26(5):470–6.

    Article  CAS  Google Scholar 

  8. Devadhar DS. A new concept of mechanism and treatment of rectal procidentia. Dis Colon Rectum. 1965;8:75–7.

    Google Scholar 

  9. Wijffels N, Collinson R, Cunningham C, Lindsey I. What is the natural history of internal rectal prolapse? Colorectal Dis. 2010;12(8):822–30.

    Google Scholar 

  10. Broden B, Snellman B. Procidentia of the rectum studied with cieradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum. 1968;11:330–47.

    Article  CAS  Google Scholar 

  11. Ihre T, Seligson U. Intussusception of the rectum-internal procidentia: treatment and results in 90 patients. Dis Colon Rectum. 1975;18:391–6.

    Article  CAS  Google Scholar 

  12. Roig JV, Buch E, Alós R, et al. Anorectal function in patients with complete rectal prolapse: differences between continent and incontinent individuals. Rev Esp Enferm Dig. 1998;90:794–805.

    CAS  PubMed  Google Scholar 

  13. Felt-Bersma RJ, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele and solitary ulcer syndrome. Gastroenterol Clin N Am. 2001;30:199–222.

    Google Scholar 

  14. Pescatori M, Spyrou M, Pulvirenti d’Urso A. A prospective evaluation of occult disorders in obstructed defecation using the “iceberg diagram”. Colorectal Dis. 2007;9(5):452–6.

    Google Scholar 

  15. Myers JO, Rothenberger DA. Sugar in the reduction of incarcerated prolapsed bowel. Report of two cases. Dis Colon Rectum. 1991;34(5):416–8.

    Article  CAS  Google Scholar 

  16. Kuijpers HC. Treatment of complete rectal prolapse: to narrow, to wrap, to suspend, to fix, to encircle, to plicate or to resect? World J Surg. 1992;16:826–30.

    Article  CAS  Google Scholar 

  17. Riansuwan W, Hull TL, Bast J, Hammel JP, Church JM. Comparison of perineal operations with abdominal operations for full-thickness rectal prolapse. World J Surg. 2010;34:1116–22.

    Article  Google Scholar 

  18. Classic articles in colonic and rectal surgery. Edmond Delorme 1847-1929. On the treatment of total prolapse of the rectum by excision of the rectal mucous membranes or recto-colic. Dis Colon Rectum. 1985;28:544–53.

    Google Scholar 

  19. Miles WE. Rectosigmoidectomy as a method of treatment for procidentia recti. Proc R Soc Med. 1933;26:1445–52.

    Google Scholar 

  20. Altemeier WA, Culbertson WR, Schwengerdt C, et al. Nineteen years’ experience with the one-stage perineal repair of rectal prolapse. Ann Surg. 1971;173:993–1006.

    Article  CAS  Google Scholar 

  21. Madoff RD, Williams JG, Wong WD, Rothenberger DA, Goldberg SM. Long-term functional results of colon resection and rectopexy for overt rectal prolapse. Am J Gastroenterol. 1992;87:101–4.

    CAS  PubMed  Google Scholar 

  22. Cutait D. Sacro-promontory fixation of the rectum for complete rectal prolapse. Proc R Soc Med. 1959;52(Suppl):105.

    Google Scholar 

  23. Jacobs LK, Lin YJ, Orkin BA. The best operation for rectal prolapse. Surg Clin North Am. 1997;77:49–70.

    Article  CAS  Google Scholar 

  24. Novell JR, Osborne MJ, Winslet MC, Lewis AA. Prospective randomised trial of Ivalon sponge versus sutured rectopexy for full-thickness rectal prolapse. Br J Surg. 1994;81:904–6.

    Article  CAS  Google Scholar 

  25. Graf W, Karlbom U, Påhlman L, et al. Functional results after abdominal suture rectopexy for rectal prolapse or intussusception. Eur J Surg. 1996;162:905–11.

    CAS  PubMed  Google Scholar 

  26. Khanna AK, Misra MK, Kumar K. Simplified sutured sacral rectopexy for complete rectal prolapse in adults. Eur J Surg. 1996;162:143–6.

    CAS  PubMed  Google Scholar 

  27. Frykman HM, Goldberg SM. The surgical treatment of rectal procidentia. Surg Gynecol Obstet. 1969;129(6):1225–30.

    CAS  PubMed  Google Scholar 

  28. Luukkonen P, Mikkonen U, Javinen H. Abdominal rectopexcy with sigmoidectomy vs rectopexy alone for rectal prolapse: a prospective, randomized study. Int J Colorectal Dis. 1992;7(4):219–22.

    Google Scholar 

  29. D’Hoore A, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg. 2004;91(11):1500–5.

    Article  Google Scholar 

  30. Kuijpers HC. Treatment of complete rectal prolapse: to narrow, to wrap, to suspend, to fix, to encircle, to plicate or to resect? World J Surg. 1992;16:826–30.

    Article  CAS  Google Scholar 

  31. Samaranayake CB, Luo C, Plank AW, Merrie AE, Plank LD, Bissett IP. Systematic review of ventral rectopexy for rectal prolapse and intussusception. Colorectal Dis. 2010;12(6):504–12.

    Google Scholar 

  32. Formijne Jonkers HA, Maya A, Draaisma WA, Bemelman WA, Broeders IA, Consten EC, et al. Laparoscopic resection rectopexy versus laparoscopic ventral rectopexy for complete rectal prolapse. Tech Coloproctol. 2014;18(7):641–6.

    Article  CAS  Google Scholar 

  33. Smart NJ, Pathak S, Boorman P, Daniels IR. Synthetic or biological mesh use for laparoscopic ventral rectopexy – a systematic review. Colorectal Dis. 2013;15:650–4.

    Google Scholar 

  34. Wong MT, Meurette G, Rigaud J, Regenet N, Lehur PA. Robotic versus laparoscopic rectopexy for complex rectocele: a prospective comparison of short-term outcomes. Dis Colon Rectum. 2011;54:342–6.

    Article  Google Scholar 

  35. Weber PA, Merola S, Wasielewski A, Ballantyne G. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45(12):1689–94.

    Article  Google Scholar 

  36. Bokhari M, Patel C, Ramos-Valadez D, Ragupathi M, Haas E. Learning curve for robotic-assisted laparoscopic colorectal surgery. Surg Endosc. 2011;25(3):855–60.

    Article  Google Scholar 

  37. Tekkis P, Senagore A, Delaney C, Fazio V. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left sided resections. Ann Surg. 2005;242(1):83–91.

    Article  Google Scholar 

  38. Makela-Kaikkonen J, Rautio T, Klintrup K, Takala H, Vierimaa M, Ohtonen P, et al. Robotic-assisted and laparoscopic ventral rectopexy in the treatment of rectal prolapse: a matched-pairs study of operative details and complications. Tech Coloproctol. 2013;18(2):151–5.

    Article  Google Scholar 

  39. Ross H, Lee S, Champagne BJ, Pigazzi A, Rivadeneira DE, et al. Robotic approaches to colorectal surgery. Geneva: Springer; 2015. p. 183–4.

    Book  Google Scholar 

  40. Guillou P, Quirke P, Thorpe H, Walker J, Jayne D, Smith A, et al. Short-term end points of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASSIC trial): multicenter randomized controlled trial. Lancet. 2005;365:1718–26.

    Article  Google Scholar 

  41. Heemskerk J, de Hoog D, van Gemert W, Baeten G, Greve J, Bouvy N. Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum. 2007;50(11):1825–30.

    Article  Google Scholar 

  42. Speakman C, Madden M, Nicholls R, Kamm M. Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg. 1991;78(12):1431–3.

    Article  CAS  Google Scholar 

  43. Kneist W, Kauff D, Naumann G, Lang H. Resection rectopexy—laparoscopic neuromapping reveals neurogenic pathways to the lower segment of the rectum: preliminary results. Langenbeck’s Arch Surg. 2013;398:565–70.

    Article  Google Scholar 

  44. Faucheron JL, Voirin D, Riboud R, Waroquet P, Noel J. Laparoscopic anterior rectopexy to the promontory for full-thickness rectal prolapse in 175 consecutive patients: short and long-term follow-up. Dis Colon Rectum. 2012;55(6):660–5.

    Article  Google Scholar 

  45. Heemskerk J, de Hoog D, van Gemert W, Baeten G, Greve J, Bouvy N. Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum. 2007;50(11):1825–30.

    Article  Google Scholar 

  46. Buchs N, Pugin F, Ris F, Volonte F, Morel P, Roche B. Early experience with robotic rectopexy. Int J Med Robot Comput Assist Surg. 2013;9(4):61–5.

    Google Scholar 

  47. Rondelli F, Bugiantella W, Villa F, Sanguinetti A, Boni M, Mariani E, Avenia N. Robot-assisted or conventional laparoscoic rectopexy for rectal prolapse? Systematic review and meta-analysis. Int J Surg. 2014;12(Suppl 2):S153–9.

    Google Scholar 

  48. Perrenot C, Germain A, Scherrer M, Ayav A, Brunaud L, Bresler L. Long-term outcomes of robot-assisted laparoscopic rectopexy for rectal prolapse. Dis Colon Rectum. 2013;56(7):909–14.

    Google Scholar 

  49. Buchs N, Pugin F, Ris F, Volonte F, Morel P, Roche B. Early experience with robotic rectopexy. Int J Med Robot Comput Assist Surg. 2013;9(4):61–5.

    Google Scholar 

  50. Mäkelä-Kaikkonen J, Rautio T, Pääkkö E, Biancari F, Ohtonen P, Mäkelä J. Robot-assisted versus laparoscopic ventral rectopexy for external, internal rectal prolapse and enterocele: a randomised controlled trial. Colorectal Dis. 2016;18(10):1010–5.

    Google Scholar 

  51. De Hoog D, Heemskerk J, Nieman F, van Gemert W, Baeten G, Bouvy N. Recurrence and functional results after open versus conventional laparoscopic versus robot-assisted laparoscopic rectopexy for rectal prolapse: a case-control study. Int J Colorectal Dis. 2009;24(10):1201–6.

    Google Scholar 

  52. Mantoo S, Podevin J, Regenet N, Rigaud J, Lehur P, Meurette G. Is robotic-assisted ventral mesh rectopexy superior to laparoscopic ventral mesh rectopexy in the management of obstructed defecation? Colorectal Dis. 2013;15(8):469–75.

    Google Scholar 

  53. Louis-Sylvestre C, Herry M. Robotic-assisted laparoscopic sacrocolpopexy for stage III pelvic organ prolapse. Int Urogynecol J. 2013;24(5):731–3.

    Google Scholar 

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Studniarek, A., Mellgren, A., Nordenstam, J. (2021). The Role of Robotic Surgery in Rectal Prolapse. In: Santoro, G.A., Wieczorek, A.P., Sultan, A.H. (eds) Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-40862-6_69

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  • DOI: https://doi.org/10.1007/978-3-030-40862-6_69

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