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Transsacral rectopexy for recurrent complete rectal prolapse.

Y Araki1, H Isomoto, Y Tsuzi

  • 1Department of Surgery, Kurume University Medical Center, Japan.

Surgery Today
|September 17, 1999
PubMed
Summary
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Transsacral rectopexy using Dexon mesh effectively treats recurrent rectal prolapse. This surgery significantly improves fecal incontinence and constipation, enhancing anorectal function and patient quality of life.

Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Pelvic Floor Disorders

Background:

  • Recurrent complete rectal prolapse presents significant functional challenges.
  • Surgical intervention is often necessary to restore anorectal function.

Purpose of the Study:

  • To evaluate the functional outcomes of transsacral rectopexy with Dexon mesh for recurrent complete rectal prolapse.
  • To assess the impact on fecal incontinence, constipation, and anorectal manometry parameters.

Main Methods:

  • Prospective study involving five patients with recurrent complete rectal prolapse.
  • Pre- and postoperative assessment using anorectal manometry and defecography.
  • Follow-up duration of 1-3 years post-surgery.

Main Results:

Related Experiment Videos

  • Significant improvement in fecal incontinence scores (3.8 to 1.2).
  • Constipation improved in 80% of patients.
  • Positive changes in straining anorectal angle (120.6 to 98.5 degrees) and perineal descent (16.2 to 8.1 cm).
  • Maximal resting pressure increased significantly (20.5 to 40.5 cmH2O).

Conclusions:

  • Transsacral rectopexy with Dexon mesh is a viable option for managing recurrent complete rectal prolapse.
  • The procedure demonstrates efficacy in improving anorectal function and patient-reported outcomes.