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Related Experiment Videos

Laparoscopic surgery for rectal prolapse and outlet obstruction.

H P Bruch1, A Herold, T Schiedeck

  • 1Department of Surgery, Medical University of Luebeck, Germany.

Diseases of the Colon and Rectum
|September 25, 1999
PubMed
Summary

Laparoscopic rectopexy and resection-rectopexy offer effective treatment for rectal prolapse and outlet obstruction, improving continence and constipation symptoms. Long-term outcomes require further evaluation.

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Area of Science:

  • Minimally invasive surgery
  • Colorectal surgery
  • Pelvic floor disorders

Background:

  • Rectal prolapse and outlet obstruction are common pelvic floor disorders.
  • Surgical intervention is often necessary for severe cases.
  • Laparoscopic approaches offer potential benefits over open surgery.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic suture rectopexy and resection-rectopexy.
  • To assess treatment efficacy for rectal prolapse and/or outlet obstruction.
  • To analyze functional results including recurrence, continence, and constipation.

Main Methods:

  • Prospective data collection from 72 patients undergoing laparoscopic procedures.
  • Semiannual follow-up assessing recurrence, continence, and constipation.

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  • Utilized patient history, physical examination, continence scores, and anorectal manometry.
  • Statistical analysis included chi-squared and Student's t-tests.

    • Main Results:

    • No recurrence of rectal prolapse observed in patients with a minimum two-year follow-up.
    • Improved or resolved incontinence in 64% of pre-operatively incontinent patients.
    • Improved or resolved constipation in 76% of pre-operatively constipated patients.
    • Low complication (9.7%) and zero mortality rates.

    Conclusions:

    • Laparoscopic rectopexy and resection-rectopexy yield acceptable functional results for pelvic floor disorders.
    • These minimally invasive techniques effectively treat rectal prolapse and outlet obstruction.
    • Extended follow-up is recommended to fully ascertain long-term recurrence, continence, and constipation outcomes.