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Easy modified wells method for rectal prolapse with using bilayer mesh
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.
Updates in Surgery
|December 13, 2023
Summary
A simplified laparoscopic Wells method using a bilayer mesh offers a safe and effective treatment for rectal prolapse in elderly patients. This approach reduces operative difficulty and improves postoperative defecation frequency without recurrence.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Geriatric Surgery
Background:
- Rectal prolapse is common in the elderly.
- Laparoscopic procedures are increasingly used for rectal prolapse.
- The Wells method is a recognized safe treatment.
Purpose of the Study:
- To present a simpler, modified laparoscopic Wells method.
- To evaluate the safety and efficacy of this modified technique.
Main Methods:
- A modified laparoscopic Wells procedure utilizing a bilayer mesh.
- No retroperitoneal suturing required.
- Performed on six elderly female patients (average age 86).
Main Results:
- Median operative time was 191 minutes.
- No recurrent rectal prolapse observed during follow-up.
- Average weekly defecation frequency decreased from 5.3 to 3.7.
Conclusions:
- The easy modified Wells method is safe and technically straightforward.
- Acceptable outcomes regarding recurrence and defecation frequency were achieved.
