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Surgical options for full-thickness rectal prolapse: current status and institutional choice
Tomohide Hori1, Daiki Yasukawa1, Takafumi Machimoto1
1Department of Digestive Surgery, Tenriyorodusoudanjyo Hospital, Tenri, Japan.
Annals of Gastroenterology
|March 7, 2018
Summary
Full-thickness rectal prolapse (FTRP) surgery options are reviewed, focusing on laparoscopic rectopexy. Individualized patient care and surgeon experience are crucial for optimal outcomes in treating this pelvic floor disorder.
Area of Science:
- Gastroenterology and Surgical Innovation
- Pelvic Floor Disorders and Surgical Techniques
Background:
- Full-thickness rectal prolapse (FTRP) is commonly attributed to pelvic floor disorders, often involving sliding hernias or rectal intussusception.
- Surgical intervention is the primary treatment for FTRP, yet the optimal surgical approach remains under investigation.
- Historical surgical approaches range from perineal and laparotomy-based rectopexy to modern laparoscopic and robotic techniques.
Purpose of the Study:
- To review documented surgical procedures for full-thickness rectal prolapse.
- To discuss and compare different therapeutic strategies for FTRP.
- To present a specific laparoscopic rectopexy technique for FTRP.
Main Methods:
- Comprehensive literature review of historical and contemporary surgical techniques for FTRP.
- Analysis of postoperative outcomes, including morbidity, mortality, and recurrence rates.
- Description of a novel laparoscopic rectopexy with posterior wrap and peritoneal closure.
Main Results:
- Laparoscopic surgery is a widely adopted approach for FTRP.
- Ongoing research actively investigates factors influencing surgical success.
- The presented laparoscopic technique aims to refine FTRP treatment.
Conclusions:
- The choice of surgical treatment for FTRP necessitates patient-specific considerations.
- Surgeon experience significantly impacts the selection and execution of FTRP procedures.
- Laparoscopic rectopexy represents an important option in the management of FTRP.
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