Laparoscopic rectopexy in solitary rectal ulcer

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Surgical Oncology

Background:

• Solitary Rectal Ulcer Syndrome (SRUS) presents with mucus and bloody discharge during defecation.
• Treatment for SRUS depends on symptom severity and rectal prolapse presence.
• Patients with medical treatment-resistant SRUS often require surgical intervention.

Purpose of the Study:

• To assess the efficacy of rectopexy as a surgical treatment for medication-resistant Solitary Rectal Ulcer Syndrome (SRUS).
• To evaluate recovery rates and influencing factors in SRUS patients undergoing abdominal rectopexy.

Main Methods:

• A non-randomized clinical trial involving 62 SRUS patients diagnosed histologically.
• All patients underwent abdominal rectopexy performed laparoscopically.
• Data collected on symptoms, signs, and post-operative recovery outcomes.

Main Results:

• Complete recovery was observed in 69.23% of patients post-abdominal rectopexy.
• Higher recovery rates were noted in patients with dysplasia (63.8%) and those using finger defecation (85%).
• Rectal bleeding was the most frequent symptom, while history of digitalization was the least frequent.

Conclusions:

• Laparoscopic rectopexy is a primary surgical technique for treating Solitary Rectal Ulcer Syndrome (SRUS).
• Abdominal rectopexy can lead to complete recovery in a significant proportion of SRUS patients.
• While conservative treatments are important, surgical intervention like rectopexy offers a solution for refractory cases.