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Laparoscopic rectopexy

M A Cuesta1, P J Borgstein, D de Jong

  • 1Department of Surgery, Free University Hospital, Amsterdam, The Netherlands.

Surgical Laparoscopy & Endoscopy
|December 1, 1993
PubMed
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Laparoscopic rectopexy using polypropylene mesh offers a minimally invasive surgical option for rectal prolapse. This technique showed promising results, with no postoperative constipation in patients with normal pre-operative bowel function.

Area of Science:

  • Minimally invasive surgery
  • Gastroenterology
  • Pelvic floor disorders

Background:

  • Rectal prolapse is a debilitating condition affecting pelvic floor function.
  • Traditional surgical approaches for rectal prolapse can involve significant morbidity.
  • Laparoscopic techniques offer potential advantages in reducing surgical invasiveness.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of laparoscopic rectopexy for treating rectal prolapse.
  • To assess the safety and efficacy of using a polypropylene mesh in this procedure.
  • To investigate the impact on postoperative bowel function, particularly constipation.

Main Methods:

  • Laparoscopic rectopexy was performed on four female patients with rectal prolapse.
  • A polypropylene mesh was introduced, fixed to the promontorium, and sutured to the rectum.

Related Experiment Videos

  • Standard laparoscopic trocar placement, similar to anterior resection, was utilized.

    • Main Results:

    • The average operating time was three hours, with an average hospital stay of six days.
    • No postoperative constipation was observed in patients with normal preoperative bowel habits.
    • The procedure demonstrated a significant decrease in morbidity compared to traditional methods.

    Conclusions:

    • Laparoscopic rectopexy is a viable and effective surgical option for rectal prolapse.
    • The use of polypropylene mesh fixation is safe and associated with good outcomes.
    • This approach holds potential for addressing various pelvic functional problems with reduced complications.