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Ventral rectopexy is a surgical procedure for external rectal prolapse, internal rectal prolapse (rectal intussusception), and sometimes other conditions such as rectocele, obstructed defecation syndrome, or solitary rectal ulcer syndrome.
A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. [2] However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.
Rectopexy is a surgery for rectal prolapse. [3] A newer version of the procedure is termed ventral mesh rectopexy, which has also been used for SRUS. [14] It may be performed with or without anterior resection (removal of a portion of the front wall of the rectum). [9] A mesh may be used to reinforce the anterior rectal wall. [8]
Ventral rectopexy was developed in 2004 as a modification which would not destroy these nerves, since only the ventral/anterior surface (the front surface) is mobilized. [61] A mesh is placed between the anterior wall of the rectum and the vagina. [61] The mesh is then fixed to the sacrum, [64] and the vaginal vault is fixed to the mesh.
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In 1995, Morinaga et al. [1] developed a non-excisional surgical technique for the treatment of internal hemorrhoids.Dal Monte et al. further refined this technique, introducing transanal hemorrhoidal dearterialization (THD).