Transabdominal levatorplasty technique in laparoscopic mesh rectopexy for rectal prolapse.

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Pelvic Floor Surgery

Background:

• Rectal prolapse involves rectal wall intussusception and associated anatomical issues.
• Existing surgical techniques aim to correct prolapse and associated defects.

Purpose of the Study:

• To introduce and evaluate a novel transabdominal levatorplasty technique for laparoscopic rectopexy.
• To reinforce the pelvic floor, narrow the anorectal hiatus, and reconstruct the anorectal angle.

Main Methods:

• Developed a transabdominal levatorplasty technique during laparoscopic rectopexy.
• Exposed levator ani muscle and used sutures to close levator diastasis.
• Performed the technique in eight patients with rectal prolapse.

Main Results:

• No recurrences observed during a median follow-up of 178 days.
• Six of seven patients with fecal incontinence reported symptomatic improvement.
• The technique was combined with other procedures in some cases.

Conclusions:

• The transabdominal levatorplasty technique shows potential for reducing rectal prolapse recurrence.
• It may improve functional outcomes, particularly for patients with fecal incontinence.
• This technique could become a valuable surgical option for rectal prolapse.