Related Experiment Videos
[Rectal prolapse. Functional results after the Orr-Loygue's rectopexy technique]
Claudio Amorotti1, Donatella Mosca, Petronilla Di Blasio
1Dipartimento di Discipline Chirurgiche e delle Emergenze Università degli Studi di Modena e Reggio Emilia.
Chirurgia Italiana
|July 23, 2003
Summary
Anterior rectopexy effectively treats rectal prolapse, improving incontinence and tenesmus. However, constipation management requires careful consideration, with planned colic resection potentially preventing postoperative issues.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Urogynecology
Context:
- Rectal prolapse surgery aims to reduce prolapse, prevent recurrence, and manage incontinence and constipation.
- Anterior rectopexy is considered a suitable surgical option for rectal prolapse.
Purpose:
- To evaluate the efficacy and outcomes of anterior rectopexy in treating rectal prolapse.
Summary:
- A retrospective study of 32 patients undergoing anterior rectopexy (Orr-Loygue or Ripstein) between 1996-1999 showed significant improvement in rectal tenesmus, fecal incontinence, and urinary incontinence.
- While 9 patients experienced constipation relief after additional sigmoidectomy, 15 of the remaining 20 patients had persistent or new-onset constipation.
- Long-term results were stable, and the procedure also demonstrated effectiveness in treating genital prolapses.
Impact:
- Anterior rectopexy offers a stable, long-term solution for rectal prolapse with good functional outcomes.
- Careful patient selection and surgical technique are crucial for successful outcomes.
- Prophylactic sigmoidectomy in patients with delayed transit may mitigate postoperative constipation.