Ventral Mesh Rectopexy
An anterior mesh placed laparoscopically to support the rectum and vaginal vault - the preferred technique when rectal prolapse coexists with rectocele or enterocele, addressing all pelvic compartment defects simultaneously.
What is Ventral Mesh Rectopexy?
Ventral Mesh Rectopexy places a synthetic mesh on the anterior surface of the rectum and fixes it to the sacral promontory - lifting and supporting the anterior rectum, vaginal vault, and posterior vaginal wall simultaneously. Unlike posterior rectopexy, it avoids posterior rectal dissection and its associated risk of autonomic nerve damage causing de novo constipation. Dr. Samhitha Reddy performs ventral mesh rectopexy at Lux Hospitals, Hyderabad for patients with rectal prolapse combined with significant rectocele or enterocele. As part of the advanced rectal prolapse care in Hyderabad programme, it is the preferred technique for combined anterior and posterior pelvic compartment defects - providing comprehensive support in a single laparoscopic operation.
How the Procedure Works
Laparoscopic Access
Standard laparoscopic 3-4 port access. The peritoneal reflection of the pouch of Douglas is opened.
Anterior Rectal Dissection
The rectovaginal septum is carefully dissected - opening the plane between the anterior rectum and the vagina without entering the posterior mesorectal plane.
Mesh Placement
A synthetic mesh (biological or lightweight synthetic) is placed on the anterior surface of the rectum - supporting the rectum, vaginal vault, and rectovaginal septum.
Sacral Fixation
The proximal end of the mesh is fixed with non-absorbable sutures to the sacral promontory or presacral fascia - providing upward support to correct the prolapse.
Peritoneal Closure
The peritoneum is closed over the mesh to prevent bowel adhesion. Ports closed. Hospital stay 1-2 days.
Outcomes
Who Needs This Treatment?
- →Addresses anterior and posterior pelvic compartment defects simultaneously
- →Avoids posterior rectal dissection - preserves autonomic nerves supplying bladder and sexual function
- →Lower bowel dysfunction rate than posterior rectopexy for constipation-predominant patients
- →Laparoscopic approach - small incisions, 1-2 day hospital stay
- →Durable support to the rectum, vaginal vault, and rectovaginal septum
- →Available at Lux Hospitals, Hyderabad for comprehensive pelvic floor surgical care
Ventral mesh rectopexy is a paradigm shift in the surgical approach to rectal prolapse. By working anteriorly, we achieve excellent prolapse correction while completely preserving the posterior nerve supply - an important advantage for patients concerned about post-operative bowel function.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Common Questions
Frequently Asked
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