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Laparoscopic rectopexy for complete rectal prolapse. Clinical outcome and anorectal function tests
A C Poen1, M de Brauw, R J Felt-Bersma
1Department of General Surgery, University Hospital, Vrije Universiteit, Amsterdam, The Netherlands.
Surgical Endoscopy
|September 1, 1996
Summary
Laparoscopic rectopexy effectively treated rectal prolapse, improving patient continence and showing positive changes in anorectal function tests. This minimally invasive surgery offers good clinical outcomes.
Area of Science:
- Colorectal surgery
- Minimally invasive surgery
- Anorectal physiology
Background:
- Complete rectal prolapse is a debilitating condition.
- Surgical intervention is often necessary for treatment.
- Laparoscopic rectopexy is a minimally invasive surgical approach.
Purpose of the Study:
- To assess the clinical outcomes of laparoscopic rectopexy for complete rectal prolapse.
- To evaluate the impact of laparoscopic rectopexy on anorectal function.
- To compare laparoscopic rectopexy with traditional abdominal rectopexy.
Main Methods:
- A prospective study involving 12 patients with complete rectal prolapse.
- Pre- and postoperative assessments included incontinence scoring, anorectal manometry, and anal endosonography.
- Median follow-up duration was 19 months.
Main Results:
- No recurrences of rectal prolapse were observed.
- Continence improved in 8 out of 9 previously incontinent patients.
- Anorectal manometry showed increased basal pressure and improved rectoanal inhibitory reflex; endosonography indicated reduced internal anal sphincter thickness.
Conclusions:
- Laparoscopic rectopexy is an effective treatment for rectal prolapse, improving continence.
- The procedure demonstrates a partial recovery of internal anal sphincter function.
- Laparoscopic rectopexy combines the benefits of minimal invasiveness with favorable clinical results.