Outcome of Laparoscopic Ventral Rectopexy for Patients with Enterocele

Abstract

Purpose: Pelvic pressure is a characteristic symptom for patients with enterocele.

The aim of this study was to assess the efficacy of laparoscopic ventral rectopexy (LVR) for patients with enterocele who had pelvic pressure.

Methods: Fourteen patients with enterocele and pelvic pressure underwent LVR and postoperative clinical symptoms and defecatory function were evaluated until 36 months. The defecatory function was assessed using the Constipation Scoring System (CSS) and the Fecal Incontinence Severity Index (FISI). Defecography was performed before and 6 months after operation.

Results: Pelvic pressure and feeling of prolapse improved significantly at each postoperative time until 36 months and 12 months, respectively. Significant improvements in postoperative CSS scores at 3 months, and FISI scores at 3 and 6 months were found. Postoperative defecography showed that enterocele had disappeared in all patients.

Conclusion: Patients with enterocele who underwent LVR experienced postoperative improvement of pelvic pressure and feeling of prolapse, which are specific symptoms in these patients.