Laparoscopic Ventral Mesh Rectopexy Versus Posterior Sutured Rectopexy for Treatment of Complete Rectal Prolapse in Females’’ | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 01 July 2023 PDF (713.57 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2023.210433.1815 | ||
| Authors | ||
| Medhat Hamdy Mohammedy* 1; Emad Eldin Mostafa Abdelhafez2; Mohamed Farid Abdelhalim3 | ||
| 1Department of general surgery Faculty of Medicine - Benha University | ||
| 2Department of general surgery Faculty of Medicine - Benha University | ||
| 3Department of general surgery Faculty of Medicine - Benha University | ||
| Abstract | ||
| Background: Complete Rectal prolapse is full-thickness intussusception of the rectal wall extending beyond the anal canal. Women are more commonly affected. It is a surgically correctable problem. There are over 100 surgical techniques that have been described to repair rectal prolapse all of which have a risk of recurrence, and none have been declared as a gold standard. Aim of the Study: Comparing short-term outcomes after laparoscopic ventral mesh rectopexy versus those after laparoscopic posterior sutured rectopexy. Patients and Methods: The current study is a prospective comparative randomized study where the patients had been recruited from the General Surgery Department, Benha University Hospital. Enrollment of eligible patients started in April 2020 and continued till reaching a target of 40 patients in June 2022 subdivided into two groups, A and B, 20 for each. Results : In group A (LVMR); the median operative time was 120.9 min, there is statistically non-significant change in Wexner constipation score, there is statistically significant decrease in Wexner incontinence score and the recurrence rate was 5.3%. In group B (LPSR); the median operative time was 77.21 min, there is statistically non-significant change in Wexner constipation score, there is statistically significant decrease in Wexner incontinence score, the recurrence rate was 11.1%. Conclusion : LVMR has a lower recurrence but longer procedure time, technically demanding with a longer learning curve and so recommended if there is other pelvic organ prolapse that could be repaired by this procedure. LPSR provides comparable outcomes through a simple technique. | ||
| Keywords | ||
| Complete Rectal prolapse; laparoscopic ventral mesh rectopexy; laparoscopic posterior sutured rectopexy | ||
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