Transperineal Rectocele Repair with Biomesh: Updating of a Tertiary Refer Center Prospective Study

Overview

Journal Int J Colorectal Dis

Specialties Gastroenterology
General Surgery

Date 2018 Apr 21

PMID 29675591

Citations 2

Authors

Giorgio Lisi

M Campanelli

S Grande

M Grande

D Mascagni

G Milito

Affiliations

Soon will be listed here.

Abstract

Purpose: Symptomatic rectocele results in obstructed defecation and constipation. Surgical repair may provide symptomatic relief. A variety of surgical procedures have been used in the rectocele repair to enhance anatomical and functional results and to improve long-term outcomes.

Methods: In this prospective study, we treated 25 selected women suffering from simple symptomatic rectocele with transperineal repair using porcine dermal acellular collagen matrix Biomesh (Permacol®). Watson score and SF-36 questionnaire were used to evaluate postoperative outcomes and quality of life.

Results: Follow-up ranged from 12 to 24 months, the mean total Watson score was significantly lower than the preoperative score (P < 0.001), and every patient has improved functional outcomes. There were no major intraoperative or postoperative complications. Two cases of urinary infection and 4 patients delayed wound healing were reported. Those patients who were sexually active prior to surgery have not experienced problems with sexual function or dyspareunia.

Conclusions: Despite lack of comparative study in literature, rectocele repair with Permacol® by the transperineal approach seems an effective and safe procedure that avoids some of the complications associated with synthetic mesh use.

Citing Articles

Literature review of the outcome of and methods used to improve transperineal repair of rectocele.

Fathy M, Hossam Elfallal A, Emile S World J Gastrointest Surg. 2021; 13(9):1063-1078.

PMID: 34621481 PMC: 8462077. DOI: 10.4240/wjgs.v13.i9.1063.

Rectal mesh erosion after posterior vaginal kit repair.

Campagna G, Panico G, Caramazza D, Marturano M, Ercoli A, Scambia G Int Urogynecol J. 2018; 30(3):499-500.

PMID: 30298206 DOI: 10.1007/s00192-018-3782-4.

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