{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T01:30:39Z","timestamp":1649122239540},"reference-count":0,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2019,10,10]]},"abstract":"<jats:p>Rectal prolapse (RP) is often seen in patients over the age of fifty, particularly women. These patients frequently suffer from other concomitant pathologies like rectocele, sigmoidocele, cystocele, or even enterocele. Rectopexy with a mesh has been an established treatment for rectal prolapse. The utilization of the robotic system allows for a successful repair within a confined pelvic space, especially for precise suture placement when working with the mesh.\n\nA 77-year-old female presented with obstructed defecation syndrome (ODS) symptoms found to be caused by a progressive rectal prolapse. Her pre-operative ODS score was 9\/20. Pelvic floor evaluation revealed concomitant rectocele and sigmoidocele. The patient was offered a robotic-assisted rectopexy with mesh placement to address the three concomitant pathologies.\n\nDuring the procedure, a posterior mesorectal mobilization with autonomic nerves preservation was performed to address the posterior leading edge of the prolapse. Subsequently, the vagina was separated from the anterior portion of the rectum and dissected down to the levator ani muscles and the perineal body. This allowed for the affixation of a polypropylene mesh to the anterior portion of the rectum. Anterior suspension of the mobilized rectum with the mesh addressed all three pathologies.\n\nNo recurrence or complications occurred at two-year follow up. The patients ODS score decreased to 1\/20.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0013.5069","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T10:51:10Z","timestamp":1571827870000},"page":"34-37","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Combined Anterior &amp; Posterior Repair of a Rectal Prolapse, Rectocele, and Sigmoidocele with a Mesh"],"prefix":"10.5604","volume":"91","author":[{"given":"Daniel","family":"Borsuk","sequence":"first","affiliation":[{"name":"Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Studniarek","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Gantt","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunal","family":"Kochar","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slawomir","family":"Marecik","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, Illinois, Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","container-title":["Polish Journal of Surgery"],"original-title":[],"deposited":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T14:38:21Z","timestamp":1573223901000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0013.5069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,10]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,10,10]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0013.5069","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,10]]}}}