[Treatment for severe rectal prolapse by laparoscopic rectopexy]

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Colorectal Surgery

Background:

• Severe rectal prolapse poses significant challenges in patient management.
• Surgical intervention is often necessary for complete rectal prolapse.
• Laparoscopic techniques offer potential advantages over traditional open surgery.

Purpose of the Study:

• To evaluate the clinical efficacy and safety of laparoscopic rectopexy.
• To assess the outcomes of laparoscopic rectopexy in patients with severe rectal prolapse.
• To determine the feasibility of this minimally invasive approach.

Main Methods:

• Four patients with complete rectal prolapse underwent laparoscopic rectopexy.
• Procedures involved rectal mobilization, fixation to sacral promontory fascia, and sigmoid colon suspension.
• Mesh insertion was utilized in three cases for enhanced repair.

Main Results:

• All four procedures were completed successfully without conversion to open surgery.
• Operative time averaged 92.5 minutes with minimal blood loss (6.5 ml).
• No postoperative complications, recurrence, or constipation were observed during 2 months to 3 years of follow-up; urinary incontinence and encopresis improved.

Conclusions:

• Laparoscopic rectopexy is a safe and effective surgical option for severe rectal prolapse.
• The procedure demonstrates reduced operative trauma and shorter hospitalization.
• This minimally invasive approach yields favorable outcomes and patient recovery.