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Abdominal rectopexy with sigmoidectomy vs. rectopexy alone for rectal prolapse: a prospective, randomized study
P Luukkonen1, U Mikkonen, H Järvinen
1Second Department of Surgery, University Central Hospital, Helsinki, Finland.
International Journal of Colorectal Disease
|December 1, 1992
Summary
Abdominal rectopexy with sigmoid resection improved constipation more effectively than mesh rectopexy alone for rectal prolapse. Both procedures offered safe and efficient prolapse control with improved incontinence rates.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Pelvic Floor Disorders
Background:
- Complete rectal prolapse is a debilitating condition affecting quality of life.
- Surgical correction is necessary for symptomatic patients.
- Various surgical techniques exist, each with potential benefits and drawbacks.
Purpose of the Study:
- To compare the efficacy and safety of abdominal rectopexy with sigmoid resection versus polyglycolic acid mesh rectopexy without sigmoidectomy for complete rectal prolapse.
Main Methods:
- A prospective, randomized study involved two groups of 15 patients each.
- Group I underwent abdominal rectopexy and sigmoid resection.
- Group II received polyglycolic acid mesh rectopexy without sigmoidectomy.
Main Results:
- Both procedures achieved safe and efficient prolapse control.
- Incontinence improved in most patients in both groups.
- Sigmoid resection with rectopexy showed a trend towards diminishing postoperative constipation, with one patient requiring colectomy due to severe constipation after mesh rectopexy alone.
Conclusions:
- Abdominal rectopexy with sigmoid resection may be superior in alleviating postoperative constipation compared to mesh rectopexy without sigmoidectomy.
- Both surgical approaches are safe and effective for managing complete rectal prolapse and improving incontinence.