LAPAROSCOPIC RECTOPEXY: A CASE SERIES STUDY | ||
| The Egyptian Journal of Surgery | ||
| Volume 21, Issue 4, October 2002, Pages 1124-1127 PDF (122.94 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2002.375154 | ||
| Author | ||
| Khaled M. Mahran* | ||
| Department of General Surgery ,El-Minia University Hospital, El-Minia – Egypt | ||
| Abstract | ||
| Background: Among the many procedures described for the treatment of rectal prolapse, abdominal rectopexy is the preferred one. It consists of fixation of the rectum to the sacrum and does not require any intestinal resection or anastomosis. Laparoscopic rectopexy has the same clinical and functional results as laparotomic rectopexy, but with a shorter postoperative hospital stay and lower costs. Patients and Methods: 25 randomly selected patients were operated upon due to complete rectal prolapse. They underwent laparoscopic rectopexy Pre-operative assessment of the patients included full history taking, thorough general examination, meticulous perineal examination with digital assessment of the sphincteric tone. and colonoscopy. Fixation of the rectum was done by means of suturing in 10 patients or synthetic polypropylene mesh fixed to the rectum and sacral promontory in 15 patients. Results: The average operative time was 90 minutes. We didn't face any technical problems during the procedure except some sort of hemorrhage from the presacral plexus of veins during the passage of the needle. It was mild and controlled easily by applying compression over the bleeding site using the rectum itself. Postoperative course was quiescent in all patients. Constipation was reported postoperatively in 7 patients. We reported no recurrence of prolapse during the follow-up period. Conclusion: Laparoscopic rectopexy is a valuable operation for both surgeon and patient. As regard for the surgeon, it offers him an excellent exposure of the deep narrow pelvic cavity allowing him to identify his way easily without risks of vital structures injury. As regard for the patient, it substitutes the highly invasive operative intervention that is reflected on the postoperative course and the rate of recovery. It is also associated with minimal incidence of complications with nil recurrence. There is no significant difference between using a mesh or simple interrupted stitches so it is left for surgeon preference. | ||
| Keywords | ||
| laparoscopy; rectopexy; rectal prolapse | ||
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