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[Abdominal Wells rectopexy with patch micromesh PTFE (Goretex)].

M Cicconi¹, P Romanelli, M Cardelli

¹Ospedale Civile di Teramo U.O. di Chirurgia d'Urgenza.

Il Giornale Di Chirurgia

|May 6, 2003

Summary

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Anterior rectopexy offers a successful surgical treatment for rectal prolapse, even in elderly patients. This technique demonstrates good long-term results with no recurrence and improved evacuation.

Area of Science:

Colorectal Surgery
Gastroenterology

Context:

Rectal prolapse is a condition requiring surgical intervention.
Anterior rectopexy has been a recognized surgical option since the 1970s.

Purpose:

To evaluate the efficacy of anterior rectopexy for symptomatic rectal prolapse.
To discuss the surgical technique and its outcomes.

Summary:

This study reports on 4 patients with complete symptomatic rectal prolapse treated with anterior access laparotomy using the Wells technique.
The procedure involved leaving one-third of the anterior rectal wall free from suture.
Postoperative recovery was generally regular, with satisfactory results at 1 year, including absence of recurrence and evacuation issues.

Impact:

Related Experiment Videos

Anterior rectopexy, when performed with appropriate rectal mobilization and fixation using mesh or PTFE, yields high success rates.
The technique respects rectal vascular supply and avoids lateral ligament division to prevent denervation.
This approach offers a reliable solution for rectal prolapse, improving patient quality of life.