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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: Jun 24, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

A new technique for suture rectopexy without resection for rectal prolapse.

C A H Liyanage1, G Rathnayake, K I Deen

  • 1Department of Surgery, University of Kelaniya Medical School, Ragama, Sri Lanka. chandikaliyanage@hotmail.com

Techniques in Coloproctology
|March 17, 2009
PubMed
Summary

This study shows that abdominal suture rectopexy without sigmoid resection is effective for rectal prolapse. The procedure improved anal incontinence and long-term prolapse control without affecting bowel transit.

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Published on: March 24, 2023

Area of Science:

  • Colorectal surgery
  • Surgical innovation
  • Pelvic floor disorders

Background:

  • Rectal prolapse management often involves sigmoid resection.
  • A new approach to abdominal suture rectopexy was evaluated to potentially avoid sigmoid resection.
  • This technique preserves lateral rectal stalks in patients with normal preoperative transit.

Purpose of the Study:

  • To evaluate a novel abdominal suture rectopexy technique for rectal prolapse.
  • To determine the efficacy of rectopexy without sigmoid resection in patients with normal bowel transit.
  • To assess the impact of this surgical approach on anal incontinence and bowel function.

Main Methods:

  • 81 patients with rectal prolapse underwent assessment including manometry and transit studies.
  • 70 patients with normal transit received suture rectopexy via a left pararectal approach, preserving lateral stalks.
  • The procedure was performed under spinal anesthesia with a small incision, avoiding sigmoid resection.

Main Results:

  • The surgery had a 9% morbidity rate with zero mortality.
  • Anal incontinence improved in 81% of patients (p=0.001).
  • Rectopexy improved anal manometry pressures (MRP and MSP) and maintained normal bowel transit in 90% of patients, with a 7% recurrence rate at 56 months.

Conclusions:

  • Abdominal suture rectopexy with a left pararectal approach is effective for rectal prolapse.
  • The technique improves anal incontinence and provides long-term prolapse control without sigmoid resection in selected patients.
  • This method does not negatively impact bowel transit or cause significant constipation.