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[Posterior rectopexy in total rectal prolapse-].

D Gallot1, P Martel, I Honigman

  • 1Service de chirurgie digestive, hôpital Bichat, Paris, France.

Annales De Chirurgie
|August 2, 2000
PubMed
Summary
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Posterior Orr-Loygue rectopexy effectively treats rectal prolapse, particularly when fecal incontinence is present. Careful surgical technique is crucial to minimize complications like constipation.

Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Outcomes

Context:

  • Rectal prolapse is a significant condition affecting bowel function.
  • Surgical interventions are often necessary for severe cases.
  • The Orr-Loygue rectopexy is a specific surgical technique for rectal prolapse.

Purpose:

  • To evaluate the outcomes of posterior Orr-Loygue rectopexy in patients with rectal prolapse.
  • To assess the efficacy and complication rates of this surgical procedure.
  • To identify patient characteristics and surgical considerations influencing outcomes.

Summary:

  • This retrospective study analyzed 55 patients who underwent posterior Orr-Loygue rectopexy for rectal prolapse between 1986 and 1997.
  • The procedure demonstrated a 0% mortality rate and 12% morbidity rate, with a mean follow-up of 63 months.

Related Experiment Videos

  • Recurrence was observed in 7% of patients, while 5/25 patients experienced persistent fecal incontinence, and 38% reported postoperative constipation.

    • Impact:

    • Posterior Orr-Loygue rectopexy is a viable option for rectal prolapse, especially in patients with coexisting fecal incontinence.
    • Attention to surgical details, including nerve preservation and graft placement, is vital for optimal results.
    • Contraindications include high anesthetic risk and pre-existing bowel or rectal evacuation dysfunction.