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Related Experiment Videos

Modified mesh rectopexy: a study.

G Bakshi1, S Ranka, S Agarwal

  • 1Department of Surgery, Seth G. S. Medical College, Vile Parle, Mumbai, India.

Journal of Postgraduate Medicine
|July 4, 2001
PubMed
Summary
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Modified mesh rectopexy effectively treats complete rectal prolapse, improving constipation and avoiding recurrence without impacting sexual function. This surgical approach offers a safe and beneficial solution for patients with this condition.

Area of Science:

  • Colorectal Surgery
  • Gastrointestinal Surgery
  • Surgical Innovation

Background:

  • Complete rectal prolapse is a debilitating condition requiring effective surgical intervention.
  • Traditional rectopexy techniques can lead to complications such as constipation and sexual dysfunction.

Purpose of the Study:

  • To assess the efficacy and safety of a modified mesh rectopexy technique for treating complete rectal prolapse.

Main Methods:

  • A prospective study involving 47 patients (25 male, 22 female) who underwent modified mesh rectopexy.
  • Utilized a "Cross-shaped" knitted monofilament polypropylene mesh.
  • Follow-up period of four years postoperatively.

Main Results:

  • Achieved anatomical repair in all patients with no recurrence.

Related Experiment Videos

  • Improved constipation in 13 patients and reduced laxative dependence in 4 others; no new constipation cases.
  • No adverse effects on sexual function; complications included prolonged ileus, faecal impaction, partial mucosal prolapse, and postoperative obstruction.

    • Conclusions:

    • Modified mesh rectopexy aligns the rectum, minimizes mobilization, and preserves lateral ligaments, preventing constipation and maintaining sexual potency.
    • Recommended for complete rectal prolapse with incontinence grades 1-3 (Browning and Parks classification).