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Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A
AbdelAziz Yehya1, Ibrahim Gamaan1, Mohamed Abdelrazek1
1Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt.
Minimally Invasive Surgery
|May 16, 2020
Summary
Laparoscopic mesh rectopexy showed no recurrence and better fecal incontinence improvement compared to suture rectopexy in children with rectal prolapse. Mesh rectopexy is recommended for this condition.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Persistent complete rectal prolapse is a condition requiring surgical intervention in children.
- Laparoscopic approaches offer minimally invasive treatment options.
Purpose of the Study:
- To compare the efficacy and outcomes of laparoscopic mesh rectopexy versus laparoscopic suture rectopexy.
- To evaluate operative time, recurrence rates, constipation, and fecal incontinence post-surgery.
Main Methods:
- A prospective randomized study involving 64 children with complete rectal prolapse.
- Patients were divided into two groups: laparoscopic mesh rectopexy (32) and laparoscopic suture rectopexy (32).
- Outcomes were assessed based on operative time, recurrence, constipation, and fecal incontinence.
Main Results:
- Laparoscopic suture rectopexy had a shorter operative time.
- No recurrence was observed in the mesh rectopexy group, versus 14.2% in the suture rectopexy group.
- Fecal incontinence improved in 100% of mesh rectopexy patients and 92.8% of suture rectopexy patients.
Conclusions:
- Both laparoscopic mesh and suture rectopexy are effective for pediatric rectal prolapse.
- Laparoscopic mesh rectopexy demonstrates superior outcomes with no recurrence and high fecal incontinence improvement.
- Mesh rectopexy is considered the preferred procedure for complete rectal prolapse in children.
