Easy modified wells method for rectal prolapse with using bilayer mesh
Related Experiment Video
Updated: Jul 8, 2025
A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation
Published on: June 20, 2025
Saburo Kakizoe1, Yumiko Kakizoe2, Teruomi Iwai2
1Department of Surgery and Internal Medicine, ILIKAI Medical INC., Kakizoe Hospital, Kagamigawa 278, Hirado, Nagasaki, 859-5152, Japan. saburo-k@kakizoehospital.or.jp.
Background:
In recent years, many laparoscopic procedures have been reported for the treatment of rectal prolapse, and the Wells method is safe and has relatively good results for rectal prolapse, which is common in the elderly. In this report, we have developed a simpler method to perform the Wells method.
Methods:
In our procedures, easy modified Wells method is performed laparoscopically, but the use of a bilayer mesh makes it easier to perform without the need to suture the retroperitoneum. We performed the method for six cases. All patients are female and average age is 86 ± 4.6. Max length of rectal prolapse is 3 cm-7 cm.
Results:
The median operative time was 191 ± 26 min. No recurrent rectal prolapse was encountered during follow-up period. The average defecation frequency per week before surgery was 5.3 ± 1.9 and after surgery was 3.7 ± 2.1.
Conclusion:
Easy modified Wells method can be performed with safety and without difficulty. This method has shown acceptable results in recurrence rates and defecation frequency after surgery.
