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Laparoscopic suture rectopexy without resection is effective treatment for full-thickness rectal prolapse
S M Heah1, J E Hartley, J Hurley
1University of Hull, Academic Surgical Unit, Castle Hill Hospital, East Yorkshire, United Kingdom.
Diseases of the Colon and Rectum
|May 29, 2000
Summary
Laparoscopic suture rectopexy without resection is a safe and effective treatment for full-thickness rectal prolapse, showing good outcomes for continence and no recurrent prolapse in frail patients.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Full-thickness rectal prolapse affects a significant number of patients, often elderly and frail.
- Surgical intervention is frequently required to address this condition.
- Traditional surgical approaches can involve significant morbidity.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic suture rectopexy without resection.
- To assess the outcomes of this minimally invasive technique for full-thickness rectal prolapse.
Main Methods:
- Prospective data collection on 25 patients undergoing laparoscopic rectopexy without resection.
- Follow-up included assessment of bowel function, continence, constipation, morbidity, and mortality.
- Analysis of surgical duration, hospital stay, and postoperative complications.
Main Results:
- Median follow-up of 26 months with no operative mortality or recurrent prolapse.
- 60% of patients showed improvement or remained unchanged in continence.
- Postoperative morbidity was low, with no increase in incontinence.
- Constipation rates did not significantly change post-surgery.
Conclusions:
- Laparoscopic suture rectopexy without resection is a safe and effective treatment for full-thickness rectal prolapse.
- This minimally invasive approach offers advantages for selected, often frail, patient populations.
- The procedure demonstrates favorable outcomes regarding continence and recurrence.