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Updated: Aug 29, 2025

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
A novel method for treating complete rectal prolapse with laparoscopic sigmoidopexy to the abdominal wall: A case
Junji Takahashi1, Masashi Yoshida1, Teppei Kamada1
1Department of Surgery, International University of Health and Welfare, Tochigi, Japan.
Introduction:
The existing treatment methods for rectal prolapse still have problems in terms of their recurrence, invasiveness, and complications; hence, minimally invasive techniques with fewer recurrences and complications are necessary. We performed laparoscopic sigmoidopexy to the abdominal wall to treat complete rectal prolapse.
Presentation Of Case:
An Asian woman in her 80s presented with a complaint of constant faecal and urinary incontinence. She was diagnosed with a 4 cm complete rectal prolapse and underwent surgery. The sigmoid colon was tractioned laparoscopically and fixed to the abdominal wall. The patient had no intraoperative or postoperative complications, and her defaecation was well-controlled without recurrence for one year after surgery.
Discussion:
In this study, we performed laparoscopic sigmoidopexy to the abdominal wall with good results.
Conclusion:
This simple method, which requires only five sutures, can be a candidate treatment method for complete rectal prolapse.
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