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Related Experiment Videos

Rectopexy

A J Senagore1, M A Luchtefeld, J M MacKeigan

  • 1Ferguson-Blodgett Digestive Disease Institute, Grand Rapids, MI.

Journal of Laparoendoscopic Surgery
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

Laparoscopic-assisted anterior resection offers a safe and effective treatment for full-thickness rectal prolapse, avoiding laparotomy and reducing hospital stays. This minimally invasive approach shows promising early results with no recurrences noted within the first year.

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Area of Science:

  • Colorectal surgery
  • Minimally invasive surgery
  • Gastrointestinal procedures

Background:

  • Full-thickness rectal prolapse management involves several surgical options.
  • Commonly used procedures include anterior resection, transabdominal mesh fixation, and perineal proctosigmoidectomy.
  • Perineal proctosigmoidectomy avoids laparotomy, but mesh fixation has high rates of postoperative constipation.

Purpose of the Study:

  • To report the outcomes of laparoscopic-assisted anterior resection for full-thickness rectal prolapse.
  • To evaluate the safety and efficacy of this minimally invasive technique.

Main Methods:

  • A series of 6 laparoscopic-assisted anterior resections were performed.
  • Procedures were conducted between January 1, 1992, and October 30, 1992.

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  • Data collected included perioperative outcomes, complications, oral intake resumption, and hospital stay.

    • Main Results:

    • No perioperative mortalities were observed.
    • One complication (port site bleed) required re-exploration.
    • Mean oral intake resumption was 2.75 days, and mean hospital stay was 4.0 days.
    • No early recurrences (< 1 year) were reported.

    Conclusions:

    • Laparoscopic-assisted anterior resection is a safe and effective treatment for full-thickness rectal prolapse.
    • This technique avoids laparotomy and reduces hospital stay.
    • The procedure demonstrates promising early outcomes regarding safety and efficacy.