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Updated: Jun 15, 2026
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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
Laparoscopic resection rectopexy for rectal prolapse: a single-center study during 16 years.
Tilman Laubert1, Markus Kleemann, Alexander Schorcht
1Department of Surgery, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany. tlaubert@googlemail.com
Surgical Endoscopy
|February 24, 2010
Summary
Laparoscopic resection rectopexy offers good long-term outcomes for rectal prolapse, improving constipation and incontinence. Previous abdominal surgeries increase recurrence risk, highlighting the importance of surgical history in treatment planning.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Gastrointestinal Health
Background:
- Rectal prolapse treatment options are varied.
- Laparoscopic resection rectopexy shows promise for perioperative and short-term results.
- Long-term outcomes data for this procedure are limited.
Purpose of the Study:
- To evaluate the long-term outcomes of laparoscopic resection rectopexy for rectal prolapse.
- To compare early and later surgical periods.
- To assess functional outcomes and recurrence rates.
Main Methods:
- 152 laparoscopic resection rectopexies for rectal prolapse (II° or III°) were analyzed from 1993-2008.
- Patients were divided into two periods (1993-2000 and 2001-2008) for comparison.
- Long-term follow-up involved questionnaires assessing constipation, incontinence, and prolapse recurrence.
Main Results:
- Operation time and hospital stay were significantly shorter in the later period (2001-2008).
- 81.3% reported improved constipation, and 67.3% improved incontinence.
- Overall recurrence was 11.1%, but significantly higher (53.8%) in patients with prior perineal surgery.
Conclusions:
- Laparoscopic resection rectopexy provides significant long-term functional benefits for rectal prolapse.
- Prior abdominal or perineal surgery negatively impacts recurrence rates after laparoscopic resection rectopexy.
