NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1556
Description LMVR is done under general anaesthesia using keyhole surgery in which 3 to 4 small incisions are made in the abdomen. The peritoneum around the rectum is dissected until the muscle coat of the rectum is identified and exposed over the entire anterior rectum which is mobilised into the rectovaginal septum. The mesh is secured to the rectum anteriorly, as low as possible in the rectovaginal or rectoprostatic fascia, using sutures, and fixed to the sacral promontory with permanent sutures or small metal tacks. The peritoneum is closed over the mesh to prevent bowel becoming trapped or adhering to the mesh. In women, LVMR may help control rectocele or enterocele associated with rectal prolapse.

Provisional Schedule

Expected publication 20 June 2018

Timeline

Key events during the development of the guidance:

Date Update
22 February 2018 - 22 March 2018 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance