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Stapled laparoscopic rectopexy for rectal prolapse

A Darzi1, M M Henry, P J Guillou

  • 1Academic Surgical Unit, St. Mary's Hospital, London, UK.

Surgical Endoscopy
|March 1, 1995
PubMed
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Laparoscopic abdominal rectopexy using an endo-stapler is a safe and effective surgical treatment for rectal prolapse (Procidentia). This minimally invasive technique offers good outcomes with low morbidity in patients with rectal prolapse.

Area of Science:

  • Minimally Invasive Surgery
  • Colorectal Surgery
  • Surgical Technology

Background:

  • Laparoscopic cholecystectomy's success has spurred diverse laparoscopic procedures.
  • Rectal prolapse (Procidentia) management presents a prime application for colorectal laparoscopic techniques.

Purpose of the Study:

  • To describe a specific technique of laparoscopic rectopexy utilizing an endo-stapler.
  • To evaluate the safety and efficacy of this laparoscopic approach for rectal prolapse.

Main Methods:

  • A laparoscopic rectopexy technique employing an endo-stapler was performed.
  • Twenty-nine consecutive patients diagnosed with rectal prolapse underwent the procedure.

Main Results:

  • The median patient age was 71 years (range 52-89), with a 27:2 male:female ratio.

Related Experiment Videos

  • Mean operative time was 95 minutes, and mean hospital stay was 5 days.
  • No mortality was observed; morbidity included incisional hernia, extraperitoneal hematoma, and urinary tract infection (each n=1).

    • Conclusions:

    • Laparoscopic abdominal rectopexy is a safe and effective treatment for rectal prolapse.
    • The endo-stapler technique demonstrates favorable outcomes in this patient series.