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Related Experiment Videos

Functional results two years after laparoscopic rectopexy.

S Benoist1, N Taffinder, S Gould

  • 1Academic Surgical Unit, St. Mary' Hospital Medical School, Praed St., W2 1NY, London, England, UK.

American Journal of Surgery
|September 28, 2001
PubMed
Summary
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Laparoscopic rectopexy techniques for rectal prolapse were compared. Adding sigmoid resection reduced constipation risk, and suture rectopexy is preferred over mesh for long-term outcomes.

Area of Science:

  • Colorectal surgery
  • Minimally invasive surgery
  • Pelvic floor disorders

Background:

  • Rectopexy is a treatment for full-thickness rectal prolapse, but techniques vary.
  • Laparoscopic approaches offer an alternative to open surgery.
  • This study compares long-term outcomes of three laparoscopic rectopexy techniques.

Purpose of the Study:

  • To compare the long-term outcomes of laparoscopic mesh, suture, and resection rectopexy.
  • To evaluate the safety and efficacy of adding sigmoid resection to laparoscopic rectopexy.
  • To determine the preferred fixation method for laparoscopic rectopexy.

Main Methods:

  • Retrospective comparison of 14 laparoscopic posterior mesh rectopexies (1993-1995).
  • Comparison of 34 laparoscopic suture rectopexies (1996-1999) with (n=18) or without (n=16) sigmoid resection.

Related Experiment Videos

  • Analysis of postoperative morbidity, mortality, prolapse recurrence, incontinence, and constipation rates.
  • Main Results:

    • No significant difference in postoperative mortality or morbidity across the three groups.
    • Similar rates of mucosal prolapse recurrence (1 patient per group).
    • Improved incontinence in over 75% of patients with preoperative impairment; no difference between groups.
    • Significantly higher rates of postoperative constipation in suture (62%) and mesh (64%) rectopexy compared to resection (11%) (P < 0.01).

    Conclusions:

    • Laparoscopic rectopexy with sigmoid resection is safe and may reduce constipation risk.
    • Laparoscopic mesh rectopexy offers no advantage over the sutured technique.
    • Suture rectopexy is the preferred fixation method for laparoscopic rectopexy.