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Rectal prolapse
1Milwaukee Institute of Minimally Invasive Surgery, Wisconsin.
Surgical Laparoscopy & Endoscopy
|October 1, 1994
Summary
Laparoscopic stapled Marlex rectopexy offers a minimally invasive approach for rectal prolapse repair. This technique shows promising results with reduced operating times and effective prolapse repair.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Rectal prolapse repair traditionally requires extensive laparotomy.
- Videolaparoscopy offers enhanced pelvic visualization.
- Previous Marlex rectopexy methods needed improved sacral mesh fixation.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic stapled Marlex rectopexy.
- To assess the efficacy of orthopedic staples for mesh fixation in this procedure.
Main Methods:
- A modified Ripstein procedure was performed laparoscopically.
- Marlex mesh was secured to the sacrum using orthopedic staples (LCR staples).
- Initial clinical experience was documented in five cases.
Main Results:
- Operating times were reduced by up to one hour.
- Complete repair of rectal prolapse was observed in all cases.
- Minimal postoperative pain and no new incontinence were reported; one reoperation was needed.
Conclusions:
- Laparoscopic stapled Marlex rectopexy is a safe and effective treatment for rectal prolapse (procidentia).
- The use of LCR staples simplifies mesh fixation and reduces surgical duration.
- This minimally invasive approach demonstrates significant potential for improved patient outcomes.