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Transsacral rectopexy for complete rectal prolapse

Y Araki1, H Isomoto, Y Tsuzi

  • 1Department of Surgery, Kurume University Medical Center, Japan.

The Kurume Medical Journal
|October 27, 1998
PubMed
Summary
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Transsacral rectopexy using DEXON mesh effectively treats complete rectal prolapse in elderly patients. The procedure improved fecal incontinence and constipation, with no recurrences observed in a three-year follow-up.

Area of Science:

  • Colorectal Surgery
  • Geriatric Surgery

Background:

  • Complete rectal prolapse is a debilitating condition, particularly in elderly or high-risk individuals.
  • Surgical intervention is often necessary but carries significant risks in this patient population.

Purpose of the Study:

  • To evaluate the clinical and functional outcomes of transsacral rectopexy with DEXON mesh in elderly or poor-risk patients with complete rectal prolapse.

Main Methods:

  • A prospective study involving six elderly or poor-risk patients with complete rectal prolapse.
  • Surgical procedure: Transsacral rectopexy with DEXON mesh.
  • Postoperative assessment included clinical evaluation, anorectal manometry, and defecography.

Main Results:

  • No recurrence of rectal prolapse was observed during the follow-up period (up to three years).

Related Experiment Videos

  • Significant improvement in fecal incontinence scores (mean 3.8 to 1.2).
  • Constipation improved in 80% of patients. Defecography showed significant improvements in straining anorectal angle (S-ARA) and perineal descent (PD). Anorectal manometry demonstrated increased maximal resting pressure (MRP).

    • Conclusions:

    • Transsacral rectopexy with DEXON mesh is a safe and effective technique for managing complete rectal prolapse in elderly or poor-risk patients.
    • The procedure offers significant functional benefits, including improved defecation and reduced fecal incontinence.
    • This surgical approach is simple to perform and well-tolerated in a vulnerable patient group.