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Laparoscopic Sutureless Rectopexy Using a Fixation Device for Complete Rectal Prolapse.
Shinobu Tomochika1, Nobuaki Suzuki1, Shin Yoshida1
1Department of Gastroenterological, Breast and Endocrine Surgery, Yamaguchi University Graduate School of Medicine.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|October 7, 2021
Summary
This study presents a simple laparoscopic, sutureless rectopexy for complete rectal prolapse (CRP). The safe and effective procedure shows low recurrence rates, offering a new treatment option for older patients.
Area of Science:
- Minimally Invasive Surgery
- Colorectal Surgery
- Gastroenterology
Background:
- Complete rectal prolapse (CRP) significantly impacts the quality of life for elderly individuals.
- Current operative treatments for CRP lack standardization.
- A novel, simple laparoscopic approach is described.
Purpose of the Study:
- To describe a laparoscopic, sutureless rectopexy technique for CRP.
- To analyze the short-term outcomes of this procedure.
Main Methods:
- Retrospective evaluation of 62 patients with CRP undergoing laparoscopic tack fixation rectopexy (2004-2017).
- Rectal mobilization with bilateral peritoneal mobilization and fixation to the sacral promontory using a fixation device.
- Careful detachment and preservation of the hypogastric nerve during dissection.
Main Results:
- Median patient age was 80 years.
- All procedures were successful with one conversion to open surgery.
- Low recurrence rate of 9.7% observed during follow-up.
Conclusions:
- Laparoscopic tacking rectopexy is a simple, safe, and sutureless method for repairing CRP.
- The procedure demonstrated no severe complications or mortality.
- This technique offers a viable treatment option for complete rectal prolapse.
