Techniques in coloproctology – controversies in coloproctology resection: rectopexy is an underutilised procedure in the management of both symptomatic high-grade internal and external rectal prolapse - Summary - MDSpire
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Techniques in coloproctology – controversies in coloproctology resection: rectopexy is an underutilised procedure in the management of both symptomatic high-grade internal and external rectal prolapse
To discuss the underutilization of resection rectopexy in managing symptomatic high-grade internal rectal prolapse and external rectal prolapse, highlighting the differences in treatment approaches.
Key Findings:
VMR is favored for ERP and selected symptomatic high-grade IRP, but this preference may overlook the potential benefits of resection rectopexy.
Resection rectopexy may be beneficial for patients with high-grade IRP despite lower surgeon preference, indicating a need for reevaluation of treatment protocols.
Negative media attention on mesh complications has increased interest in resection rectopexy, suggesting a shift in patient and surgeon perspectives.
Interpretation:
There is a need for greater acceptance of resection rectopexy as a viable option for patients with symptomatic high-grade IRP, especially in light of mesh-related complications, supported by emerging clinical evidence.
Limitations:
Limited surgeon willingness to adopt resection rectopexy due to historical preferences for VMR, which may not reflect current evidence.
Potential biases in survey responses and retrospective study designs could skew the perceived effectiveness of the procedures.
Conclusion:
Selective use of resection rectopexy should be considered for patients with ERP and symptomatic high-grade IRP, supported by emerging clinical evidence, while addressing the biases that influence surgical choices.
