[Laparoscopic treatment of rectal prolapse].

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Minimally Invasive Surgery

Context:

• Rectal prolapse is an uncommon condition primarily affecting elderly patients.
• Surgical treatment is standard, but technique selection remains debated.
• Laparoscopic approaches are emerging as feasible, minimally invasive options.

Purpose:

• To evaluate the preliminary outcomes of laparoscopic posterior rectopexy for total rectal prolapse.
• To assess the safety, efficacy, and functional results of this surgical technique.

Summary:

• A series of 17 patients with rectal prolapse underwent surgery, with 15 receiving laparoscopic posterior rectopexy (Wells type) and 2 sigmoidectomy.
• The mean follow-up was 39 months, showing no relapses, minimal morbidity/mortality, and reduced hospital stays.
• Functional outcomes included resolution of incontinence in 26% and persistent constipation in 20%.

Impact:

• Laparoscopic rectopexy presents a viable surgical choice for rectal prolapse.
• The technique is associated with low morbidity and mortality.
• It offers good long-term results with benefits of minimally invasive surgery.