Abdominal ventral rectopexy with colectomy for obstructed defecation syndrome: An alternative option for selected patients

Table 1 Patient characteristics

Patient No.	Sex	Age (yr)	BMI (kg/m2)	Duration of ODS (mo)	Career	History of surgery	Defecography	Barium enema	Pelvic dynamic magnetic resonance imaging	Colonic transit time (h)
1	Female	43	18.7	120	Middle school teacher	Laparoscopic ovariocystectomy	IRP (grade IV) DPS	Redundant sigmoid and transverse colon	POP, deep cul-de-sac, sigmoidocele	54
2	Female	77	16	13	Farmer	None	IRP (grade IV) DPS	Redundant sigmoid colon	POP, deep cul-de-sac, retroversion of uterus	52
3	Female	58	26.8	96	Self-employed person	None	IRP (grade III) rectocele	Redundant sigmoid colon	POP, deep cul-de-sac	Normal
4	Female	63	24	360	Retired worker	None	IRP (grade IV)	Redundant sigmoid and transverse colon	POP, deep cul-de-sac, sigmoidocele	64
5	Female	39	23.2	84	Factory worker	PPH	IRP (grade IV)	Redundant sigmoid colon	POP, deep cul-de-sac	Normal
6	Female	37	26.8	120	Factory worker	None	IRP (grade IV) rectocele	Redundant sigmoid colon	POP, deep cul-de-sac	54

BMI: Body mass index; ODS: Obstructed defecation syndrome; PPH: Prolapse and hemorrhoids; IRP: Internal rectal prolapse; DPS: Descending perineum syndrome; POP: Pelvic organ prolapse.

Table 2 Perioperative results

	Clinical outcomes
Robotic	4
Laparoscopic	2
synthetic mesh	3
biologic mesh	3
Mean operating time (min)
Robotic	243 (160-300)
Laparoscopic	230 (220-240)
Conversion	0
Mean postoperative length of stay (d)	8.2 (6-12)
Urinary retention	0
Wound infection	0
Prolonged ileus	0
Anastomotic leakage	0
Pelvic infection	0
Mesh complication	1