Abstract
Rectal prolapse is a condition that can cause significant social impairment and negatively affects quality of life. Surgery is the mainstay of treatment, with the aim of restoring the anatomy and correcting the associated functional disorders. During recent decades, laparoscopic abdominal procedures have emerged as effective tools for the treatment of rectal prolapse, with the advantages of faster recovery, lower morbidity, and shorter length of stay. Robotic surgery represents the latest evolution in the field of minimally invasive surgery, with the benefits of enhanced dexterity in deep narrow fields such as the pelvis, and may potentially overcome the technical limitations of conventional laparoscopy. Robotic surgery for the treatment of rectal prolapse is feasible and safe. It could reduce complication rates and length of hospital stay, as well as shorten the learning curve, when compared to conventional laparoscopy. Further prospectively maintained or randomized data are still required on long-term functional outcomes and recurrence rates.
Highlights
Pelvic organs prolapse, including rectal prolapse (RP), is a condition that mainly affects women in middle and advanced age and can involve both the anterior and posterior compartments
Depending on the anatomy and the type of prolapse, symptoms may vary from urinary or fecal incontinence to obstructed defecation, pelvic pain, and sexual dysfunction. This condition may significantly worsen the quality of life (QoL) and represent an important social and economic burden in the setting of an aging population
This study aims to describe the surgical technique of robotic ventral rectopexy and to review the available literature on intraoperative, short-term postoperative, and long-term functional outcomes
Summary
Pelvic organs prolapse, including rectal prolapse (RP), is a condition that mainly affects women in middle and advanced age and can involve both the anterior and posterior compartments. A multidisciplinary approach is traditionally required, involving urologists, gynecologists, and colorectal surgeons [1]. Depending on the anatomy and the type of prolapse, symptoms may vary from urinary or fecal incontinence to obstructed defecation, pelvic pain, and sexual dysfunction. This condition may significantly worsen the quality of life (QoL) and represent an important social and economic burden in the setting of an aging population. Since multiple options are available, treatment may be surgeon-dependent and is influenced by many factors
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