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Related Experiment Video

Updated: Apr 19, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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[Laparoscopic versus open mesh rectopexy for total rectal prolapse].

Jianpei Liu1, Pinjie Huang, Zongheng Zheng

  • 1Department of Gastrointestinal Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.

Zhonghua Yi Xue Za Zhi
|December 31, 2014
PubMed
Summary

Laparoscopic mesh rectopexy offers comparable safety and efficacy to open surgery for rectal prolapse. Laparoscopic approach shows improved short-term outcomes, making it a viable option for patients.

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Surgical Outcomes

Background:

  • Total rectal prolapse is a condition requiring surgical intervention.
  • Mesh rectopexy is a common surgical technique for treating rectal prolapse.
  • Comparing laparoscopic and open approaches is crucial for optimizing patient care.

Purpose of the Study:

  • To compare the efficacy and safety of laparoscopic versus open mesh rectopexy.
  • To evaluate short-term and long-term outcomes for both surgical methods.
  • To assess the suitability of these procedures for elderly patients.

Main Methods:

  • Retrospective review of 34 patients undergoing either laparoscopic or open mesh rectopexy.
  • Patients were matched for age, BMI, and ASA score.
  • Data collected included operative duration, complications, recurrence, and functional outcomes.

Main Results:

  • No significant differences in long-term recurrence or functional improvement between groups.
  • Laparoscopic rectopexy demonstrated significantly shorter operative duration, reduced blood loss, and faster recovery (earlier flatus, shorter hospital stay).
  • Mortality was zero in both groups, indicating comparable safety.

Conclusions:

  • Laparoscopic mesh rectopexy is as safe and effective as open mesh rectopexy for total rectal prolapse.
  • Both procedures are suitable for elderly patients.
  • Laparoscopic approach offers superior short-term recovery while achieving similar long-term results.