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Related Experiment Video

Updated: Jun 29, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Surgery for complete rectal prolapse in adults.

Samson Tou1, Steven R Brown, Ali I Malik

  • 1General Surgery, 18 Bishy-Barnabee Way, Norwich, UK. samsontou@aol.com

The Cochrane Database of Systematic Reviews
|October 10, 2008
PubMed
Summary

Surgical treatment for complete rectal prolapse lacks definitive evidence due to small trials. Laparoscopic surgery shows fewer complications, but more research is needed to determine the best surgical approach for rectal prolapse.

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Last Updated: Jun 29, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Surgical Outcomes Research

Background:

  • Complete rectal prolapse is a debilitating condition affecting older adults.
  • Current surgical options for rectal prolapse are diverse, indicating a lack of consensus on optimal treatment.
  • Pelvic floor defects are the underlying cause of complete rectal prolapse.

Purpose of the Study:

  • To evaluate the effectiveness of various surgical interventions for adult rectal prolapse.
  • To compare different surgical approaches and techniques for treating rectal prolapse.
  • To identify the optimal surgical strategy for managing complete rectal prolapse.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched multiple databases including Cochrane, PubMed, and EMBASE up to January 2008.
  • Included 12 trials with 380 participants, assessing recurrence, residual prolapse, incontinence, and constipation.

Main Results:

  • Laparoscopic rectopexy demonstrated fewer postoperative complications and shorter hospital stays compared to open rectopexy.
  • Division of lateral ligaments reduced prolapse recurrence but increased constipation.
  • Bowel resection during rectopexy was linked to lower constipation rates.

Conclusions:

  • Methodological weaknesses and small sample sizes limit definitive conclusions on the best surgical approach for rectal prolapse.
  • Insufficient data exists to establish clinically significant differences between various surgical operations.
  • Larger, rigorous trials are necessary to guide optimal surgical treatment for rectal prolapse.