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Advanced Methods for the Management of Ventral Rectopexy Symposium

Saturday, June 6, 7:30 am – Noon
CME Credit Hours, Symposium: 4.5
Registration Required

Fee: $50 (Didactic Symposium Only)

See hands-on workshop (includes didactic symposium)

Rectal prolapse is a relatively common debilitating condition with both functional and anatomic sequelae. 

Ventral Rectopexy (VR) is the current gold standard for treatment of rectal prolapse in most countries outside of North America. VR can correct full-thickness rectal prolapse, rectoceles and internal rectal prolapse and can be combined with vaginal prolapse procedures, such as sacrocolpopexy, in patients with multicompartment pelvic floor defects. Limiting dissection to the anterior rectum minimizes autonomic nerve damage associated with posterior dissection and division of the lateral stalks.

VR is technically demanding and requires a complete ventral dissection of the rectovaginal septum (rectovesical in men) down to the pelvic floor and suturing skills within a confined space that further maximizes the difficulty. Poor technique minimizes the functional benefit and increases the risk for complications. Formal training programs in VR can help to avoid complications and improve outcomes.

Objectives

At the conclusion of this session, participants should be able to:

  1. Explain ventral rectopexy, indications and long-term outcomes
  2. Describe surgical steps for ventral rectopexy using a minimally invasive approach such as laparoscopy or robotics
  3. Distinguish how to avoid and how deal with surgical complication after prolapse surgery
  4. Refine VR technique and improve efficiency

Co-Directors

Brooke Gurland, MD, Stanford, CA
James Ogilvie, Jr., MD, Grand Rapids, MI
Andrew Stevenson, MD, Brisbane, Australia

7:30 am Introduction
Brooke Gurland, MD, Stanford, CA

7:40 am Principles and Evolution of Procedures for Rectal Prolapse
Anders Mellgren, MD, PhD, Chicago, IL

7:55 am Rectal Prolapse Outcomes: How Does Ventral Rectopexy Measure Up
Ian Paquette, MD, Cincinnati, OH

8:10 am Testing? What Helps Me Prior to Prolapse/VR Repair?
Amy Thorsen, MD, Minneapolis, MN

8:25 am RVR – How I Do It
Joseph Carmichael, MD, Orange, CA

8:40 am LX VR – How I Do It
James Ogilvie, Jr., MD, Grand Rapids, MI

8:55 am Break

9:05 am Getting Started: VR/Initial Patient Selection and Booking Your First Few Cases
Konstantin Umanskiy, MD, Chicago, IL

9:30 am To Mesh or Not Mesh in Multicompartment Prolapse
Liliana Bordeianou, MD, Boston, MA
Milena Weinstein, MD, Boston, MA

9:45 am Management and Prevention of VR Complications
Elizabeth Raskin, MD, Loma Linda, CA

10:00 am Recurrent Rectal Prolapse: Where Does VR Fit In?
Kenneth Loh, MD, San Francisco, CA

10:15 am Pelvic Mesh and Sacrocolopexy Pearls Applicable to VR
Beri Ridgeway, MD, Cleveland, OH

10:30 am Break

10:45 am VR for ODS and IRP
Sara Vogler, MD, Cleveland, OH

11:00 am Ergonomics and Improving VR Efficiency
Andrew Stevenson, MD, Brisbane, Australia

11:15 am Managing Complicated VR Cases:
Taking VR to the Next Level
Brooke Gurland, MD, Stanford, CA

11:30 am Cases and Panel Discussion
All Faculty

Noon Adjourn

See hands-on workshop (includes didactic symposium)