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Related Experiment Videos

Laparotomic vs. laparoscopic rectopexy in complete rectal prolapse.

P Boccasanta1, M Venturi, M C Reitano

  • 1Department of General and Oncologic Surgery, University of Milan, Ospedale Maggiore Policlinico, IRCCS, Milan, Italy. alberto.peracchia@unimi.it

Digestive Surgery
|November 24, 1999
PubMed
Summary

Laparoscopic Wells rectopexy offers comparable functional and clinical outcomes to traditional laparotomy for rectal prolapse and fecal incontinence. This minimally invasive approach also reduces hospital stay and associated costs.

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Pelvic Floor Disorders

Background:

  • Complete rectal prolapse often presents with fecal incontinence, significantly impacting quality of life.
  • Surgical correction, including rectopexy, is a common treatment modality.
  • Traditional laparotomy and newer laparoscopic techniques are employed for rectopexy.

Purpose of the Study:

  • To compare the functional and clinical outcomes of laparotomic versus laparoscopic Wells rectopexy.
  • To evaluate efficacy in patients with complete rectal prolapse and fecal incontinence.
  • To assess differences in postoperative recovery and costs.

Main Methods:

  • A comparative study of 23 patients undergoing abdominal rectopexy (January 1989-December 1997).

Related Experiment Videos

  • Thirteen patients (Group A) had laparotomic Wells rectopexy, and 10 (Group B) had laparoscopic Wells rectopexy.
  • Preoperative assessments included clinical history, physical examination, proctosigmoidoscopy, transit time, defecography, manometry, and EMG; postoperative physiotherapy and biofeedback were standard.

    • Main Results:

    • Both surgical groups demonstrated significant improvement in dyschezia and fecal incontinence (p < 0.05).
    • Improvements in anal sphincter pressure and rectoanal reflex were not statistically significant.
    • Laparoscopic rectopexy (Group B) resulted in a shorter postoperative hospital stay and reduced costs compared to laparotomy (Group A).

    Conclusions:

    • Laparoscopic Wells rectopexy achieves equivalent clinical and functional results to laparotomic rectopexy.
    • The laparoscopic approach offers advantages in reduced hospital stay and cost-effectiveness.
    • Laparoscopic rectopexy is a viable and potentially superior alternative for managing rectal prolapse and fecal incontinence.