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Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
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Anterior rectopexy for full-thickness rectal prolapse: Technical and functional results
Jean-Luc Faucheron1, Bertrand Trilling1, Edouard Girard1
1Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
World Journal of Gastroenterology
|May 7, 2015
Summary
Laparoscopic anterior rectopexy is effective for total rectal prolapse, showing low recurrence and complication rates. It improves constipation and anal incontinence in many patients, making it a promising treatment option.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Innovation
Background:
- Total rectal prolapse (TRP) is a debilitating condition requiring surgical intervention.
- Anterior rectopexy, particularly the laparoscopic approach, has gained attention for TRP treatment.
Purpose of the Study:
- To evaluate the effectiveness, complications, recurrence rates, and recent advancements of laparoscopic anterior rectopexy for TRP.
Main Methods:
- A systematic review of MEDLINE, PubMed, and EMBASE databases was conducted.
- Included studies were randomized controlled trials, non-randomized studies, and original articles with over 10 patients and a follow-up exceeding 3 months.
Main Results:
- Twelve studies with 574 patients were reviewed; no surgical mortality was reported.
- Conversion to open surgery occurred in 2.9% of cases. Major complications were 4.8%, with mesh-related issues in 1.2%.
- Mean recurrence rate was 4.7%. Significant improvements were noted in constipation (3-72%) and fecal incontinence (31-84%).
Conclusions:
- Laparoscopic anterior rectopexy demonstrates a low long-term recurrence rate and favorable outcomes.
- The procedure shows potential for improving constipation and anal incontinence with a low complication profile.
- This technique emerges as an efficient option for managing total rectal prolapse.
