Laparoscopic Resection Rectopexy with Transanal Specimen Extraction for Complete Rectal Prolapse: Retrospective...

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Pelvic Floor Disorders

Background:

• Complete rectal prolapse (RP) is a debilitating condition often associated with obstructed defecation syndrome (ODS) and fecal incontinence.
• Laparoscopic resection rectopexy (LRR) is a standard treatment, but functional outcomes after transanal specimen extraction (LRR-TSE) require further definition.

Purpose of the Study:

• To assess short- and long-term functional outcomes, including ODS, Wexner incontinence score (WIS), and LARS scores, in patients undergoing LRR-TSE.
• To evaluate the impact of LRR-TSE on bowel dysfunction and continence.

Main Methods:

• A single-center cohort study of 53 consecutive patients who underwent LRR-TSE.
• Prospective data collection and retrospective analysis of ODS, WIS, and LARS scores at baseline and 3, 6, and 12 months postoperatively.
• Longitudinal changes analyzed using repeated-measures ANOVA.

Main Results:

• Significant improvements in ODS and LARS scores were observed by 12 months post-surgery (p < 0.001).
• Wexner incontinence scores initially increased but improved by 6 and 12 months (p < 0.001).
• Patients aged ≥50 years showed higher postoperative LARS and WIS scores; complication rate was 9.43%.

Conclusions:

• LRR-TSE is a safe and effective minimally invasive approach for rectal prolapse, improving constipation, continence, and LARS-related dysfunction.
• Initial postoperative functional impairments may not reflect long-term outcomes, necessitating follow-up beyond 12 months.