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The article discusses surgical techniques for repairing rectal prolapse, specifically focusing on robotic mesh rectopexy using the Geneva technique. The text explains that there are various approaches to rectal prolapse repair, ranging from perineal approaches to transabdominal approaches. The article highlights the diversity of methods for transabdominal rectopexy and the lack of strong evidence to compare these techniques. It also mentions that minimally invasive rectopexy using robotics may improve patient outcomes compared to laparoscopy. The article provides a step-by-step description of the robotic mesh rectopexy procedure, including patient positioning, port insertion, laparoscopic exploration, docking of the surgical robot, dissection, mesh preparation and stitching, and peritoneum closure. The authors of the article are listed, and a conflict of interest statement is included. [Extracted from the article]

Introduction: Obese patients are considered at increased risk of postoperative adverse events after colorectal surgery. Objective: The objective of the present study was to compare postoperative outcomes between obese and non-obese patients undergoing elective colorectal surgery in an Enhanced Recovery After Surgery (ERAS) program. Methods: A retrospective analysis of a prospective cohort including patients who underwent elective colorectal surgery and were included in an ERAS protocol between February 2014 and December 2017 at Geneva University Hospital, Geneva, Switzerland, was performed. Postoperative outcomes of obese and non-obese patients were compared. Results: Data of 460 patients were analyzed, including 374 (81%) non-obese and 86 (19%) obese patients. Overall, there was no difference in postoperative outcomes between the 2 groups. Among patients undergoing oncologic surgery, obese subjects had a significantly higher rate of conversion to laparotomy (11.9 vs. 2.1%, p = 0.01) and longer time until return of bowel function (2.38 vs. 1.98 days, p = 0.03), without increased morbidity or longer length of stay. Conclusion: Obese and non-obese patients had similar postoperative outcomes after elective colorectal surgery with ERAS management. ERAS can potentially reduce the increased morbidity usually observed in obese patients following elective colorectal surgery. [ABSTRACT FROM AUTHOR]