Annals of Coloproctology

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Anorectal physiology & pelvic floor disorder

Laparoscopic ventral mesh rectopexy with and without transverse perineal support using biological mesh for rectal prolapse and perineal descent: postoperative course and functional outcomes: Maria Clelia Gervasi, Giorgio Brancato, Lorenzo Crepaz, Ahmad Tfaily, Alberto Di Leo; Ann Coloproctol. 2025;41(5):453-461. Published online October 28, 2025; DOI: https://doi.org/10.3393/ac.2025.00080.0011

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Abstract PDF Supplementary Material: Purpose
Laparoscopic ventral mesh rectopexy (LVMR) is effective for the treatment of rectal prolapse. However, descending perineal syndrome may impair the outcomes of LVMR. The aim of this study was to assess the safety and functional outcomes of LVMR performed with and without transverse perineal support (TPS).
Methods
This was a retrospective study of 143 consecutive female patients treated with LVMR with or without TPS between 2018 and 2022. Patients with rectal prolapse and perineal descent who underwent surgery were included. Obstructed defecation syndrome and fecal incontinence were evaluated using the Cleveland Constipation Score (Wexner score) and St. Mark’s Incontinence Score, respectively. Perineal descent was defined using defecography. Biological meshes were utilized in all cases.
Results
No significant differences were recorded between with- and without-TPS groups at baseline. TPS was performed in 110 patients (76.9%). Surgical morbidity was higher in the with-TPS group (12.7% vs. 0%, P=0.047), primarily due to seroma formation. Almost all complications were mild (Clavien-Dindo grades I–II). In both groups, digital aid for defecation (P<0.001), prolonged straining (P=0.004), and hematochezia (P<0.001) nearly disappeared postoperatively, though constipation and laxative/enema use persisted in 22.4%. Fecal incontinence significantly decreased from 43.4% to 11.2% (P<0.001). TPS appears to have a potentially favorable effect in reducing the constipation score. Both constipation and incontinence scores remained low up to 24 months after surgery. Operative time was significantly longer in the LVMR with-TPS group (P<0.001).
Conclusion
LVMR with TPS appears safe and feasible. TPS may provide better surgical outcomes compared to LVMR alone for patients with symptomatic rectoceles and descending perineum syndrome.

Benign diesease & IBD,Surgical technique

Transanal rectopexy for external rectal prolapse: Shantikumar Dhondiram Chivate, Meghana Vinay Chougule, Rahul Shantikumar Chivate, Palak Harshuk Thakrar; Ann Coloproctol. 2022;38(6):415-422. Published online October 21, 2021; DOI: https://doi.org/10.3393/ac.2021.00262.0037

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2 Web of Science
2 Citations

Abstract PDF

Purpose
The surgical management of patients with full-thickness rectal prolapse (FTRP) continues to remain a challenge in the laparoscopic era. This study retrospectively assesses a cohort of patients undergoing a transanal suture sacro rectopexy supported by sclerosant injection into the presacral space under ultrasound guidance.
Methods
Patients with FTRP underwent a sutured transrectal presacral fixation of 2/3 of the circumference of the rectum from the third sacral vertebra to the sacrococcygeal junction through a side-viewing operating proctoscope. The procedure was supplemented by ultrasound-guided injection into the retrorectal space of a 2 mL solution of sodium tetradecyl sulfate/polidocanol mixed with air. Patients were functionally assessed before and 6 months after surgery with the Agachan constipation score and the Pescatori incontinence score.
Results
There were 36 adult patients (26 males; the range of age, 23–92 years). The mean operative time was 27 minutes (range, 23–50 minutes) with no recorded perioperative morbidity. The median follow-up was 66 months (range, 48–84 months) with 1 (2.8%) recurrence presenting 18 months after surgery. There were 19 patients (52.8%) who presented with incontinence before surgery with 17 out of 19 (89.5%) reporting improvement in their Pescatori score (P<0.001). No patient had worsening incontinence and there were no de novo incontinence cases. Constipation scores improved in 23 out of 36 patients (63.9%) with a mean score reduction difference of 7.91 (P=0.001).
Conclusion
Transanal sutured sacral rectopexy with supplemental presacral sclerosant injection is safe and effective in the management of FTRP with sustained improvement in bowel function.

Citations

Citations to this article as recorded by

Systematic literature review and meta-analysis of surgical treatment of complete rectal prolapse in male patients
S. H. Emile, A. Wignakumar, N. Horesh, Z. Garoufalia, V. Strassmann, M. Boutros, S. D. Wexner
Techniques in Coloproctology.2024;[Epub] CrossRef
External rectal prolapse: more than meets the eye
M. Yiasemidou, C. Yates, E. Cooper, R. Goldacre, I. Lindsey
Techniques in Coloproctology.2023; 27(10): 783. CrossRef

Laparoscopic Posterolateral Rectopexy for the Treatment of Patients With a Full Thickness Rectal Prolapse: Experience With 63 Patients and Short-term Outcomes: Keehoon Hyun, Shi-Jun Yang, Ki-Yun Lim, Jong-Kyun Lee, Seo-Gue Yoon; Ann Coloproctol. 2018;34(3):119-124. Published online June 30, 2018; DOI: https://doi.org/10.3393/ac.2018.01.31

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5 Web of Science
5 Citations

Abstract PDF

Purpose
Although numerous procedures have been proposed for the treatment of patients with a rectal prolapse, the most effective operation has not yet been established. Minimal rectal mobilization can prevent constipation; however, it is associated with increased recurrence rates. We describe our novel method for a laparoscopic posterolateral rectopexy, which includes rectal mobilization with a posterior-right unilateral dissection, suture fixation to the sacral promontory with a polypropylene mesh (Optilene), and a mesorectal fascia propria that is as wide as possible. The present report describes our novel method and assesses the short-term outcomes of patients.
Methods
Between June 2014 and June 2017, 63 patients (28 males and 35 females) with a full-thickness rectal prolapse underwent a laparoscopic posterolateral (LPL) rectopexy. We retrospectively analyzed the clinical characteristics and postoperative complications in those patients. The outcome of surgery was determined by evaluating the answers on fecal incontinence questionnaires, the results of anal manometry preoperatively and 3 months postoperatively, the patients’ satisfaction scores (0–10), and the occurrence of constipation.
Results
No recurrence was reported during follow-up (3.26 months), and 3 patients reported postoperative complications (wound infection, postoperative sepsis, which was successfully treated with conservative management, and retrograde ejaculation). Compared to the preoperative baseline, fecal incontinence at three months postoperatively showed an overall improvement. The mean patient satisfaction score was 9.55 ± 0.10, and 8 patients complained of persistent constipation.
Conclusion
LPL rectopexy is a safe, effective method showing good functional outcomes by providing firm, solid fixation for patients with a full-thickness rectal prolapse.

Citations

Citations to this article as recorded by

Anatomical and functional outcomes of rectal prolapse treatment with laparoscopic pelvic organ prolapse suspension versus laparoscopic ventral mesh rectopexy
Adel Zeinalpour, Alimohammad Bananzadeh, Mohammad Mostafa Safarpour, Sara Shojaei‐Zarghani, Seyede Saeideh Shahidinia, Seyed Vahid Hosseini, Ali Reza Safarpour
Surgical Practice.2025; 29(1): 26. CrossRef
Surgical outcomes on health-related quality of life in rectal prolapse: A systematic review and meta-analysis
Hannaneh Yousefi-Koma, Yassin Rahnama, Dorsa Najari, Fatemeh Fathabadi, Mojtaba Sedaghat, Alireza Kazemeini, Mohammad Reza Keramati, Amir Keshvari, Mohammad Sadegh Fazeli, Behnam Behboudi, Seyed Mohsen Ahmadi-Tafti
Techniques in Coloproctology.2025;[Epub] CrossRef
Clinical outcomes of surgical management for recurrent rectal prolapse: a multicenter retrospective study
Kwang Dae Hong, Keehoon Hyun, Jun Won Um, Seo-Gue Yoon, Do Yeon Hwang, Jaewon Shin, Dooseok Lee, Se-Jin Baek, Sanghee Kang, Byung Wook Min, Kyu Joo Park, Seung-Bum Ryoo, Heung-Kwon Oh, Min Hyun Kim, Choon Sik Chung, Yong Geul Joh
Annals of Surgical Treatment and Research.2022; 102(4): 234. CrossRef
Laparoscopic Posterolateral Suture Rectopexy for Recurrent Rectal Prolapse in Children
Sherif M. Shehata, Ahmed A. Elhaddad, Wael M. Abo Senna, Mohamed A. Shehat
Journal of Laparoendoscopic & Advanced Surgical Techniques.2019; 29(10): 1292. CrossRef
Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery
Suk-Hwan Lee
The Journal of Minimally Invasive Surgery.2019; 22(4): 135. CrossRef

Laparoscopic Vaginal Suspension and Rectopexy for Rectal Prolapse: Shi-Jun Yang, Seo-Gue Yoon, Ki-Yun Lim, Jong-Kyun Lee; Ann Coloproctol. 2017;33(2):64-69. Published online April 28, 2017; DOI: https://doi.org/10.3393/ac.2017.33.2.64

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15 Web of Science
16 Citations

Abstract PDF

Purpose

Laparoscopic procedures for the treatment of patients with a rectal prolapse have gained increasing worldwide acceptance because they have lower recurrence and better functional outcome than perineal procedures. Nevertheless, ideal surgical methods are still not available. We propose a new surgical technique, laparoscopic vaginal suspension and rectopexy, for correcting a full-thickness rectal prolapse and/or middle-compartment prolapse. This study assessed the short-term outcomes for patients who underwent laparoscopic vaginal suspension and rectopexy.

Methods

Between April 2014 and April 2016, 69 female patients underwent laparoscopic vaginal suspension and rectopexy to correct a rectal prolapse. Demographics, medical histories, and surgical and follow-up details were collected from their medical records. In addition to the clinical outcome, we repeated defecation proctography and a questionnaire regarding functional results three months after surgery.

Results

No major morbidities or no mortalities occurred. The defecation proctography confirmed excellent anatomical result in all cases. Of 7 patients with combined middle-compartment prolapses, we observed good anatomical correction. During follow-up, full-thickness recurrence occurred in one patient. Preoperative fecal incontinence was improved significantly at 3 months (mean Wexner score: 12.35 vs. 7.71; mean FISI: 33.29 vs. 21.07; P < 0.001). Analysis of responses to the fecal incontinence quality of life (FIQOL) questionnaire showed overall improvement at 3 months compared to the preoperative baseline (mean pre- and postoperative FIQOL scores: 12.11 vs. 14.39; P < 0.004).

Conclusion

Laparoscopic vaginal suspension and rectopexy is a new combined procedure for the treatment of patients with rectal prolapses. It has excellent functional outcomes and minimal morbidity and can correct and prevent middlecompartment prolapses.

Citations

Citations to this article as recorded by

Surgical outcomes on health-related quality of life in rectal prolapse: A systematic review and meta-analysis
Hannaneh Yousefi-Koma, Yassin Rahnama, Dorsa Najari, Fatemeh Fathabadi, Mojtaba Sedaghat, Alireza Kazemeini, Mohammad Reza Keramati, Amir Keshvari, Mohammad Sadegh Fazeli, Behnam Behboudi, Seyed Mohsen Ahmadi-Tafti
Techniques in Coloproctology.2025;[Epub] CrossRef
Surgical and Functional Outcome of Laparoscopic Vaginal Suspension Combined with Suture Rectopexy for Management of Pelvic Organ Prolapse
Mohamed I. Abuelnasr, Ahmed M. F. Salama, Ahmed M. Nawar
Journal of Coloproctology.2024; 44(01): e1. CrossRef
Mesh-associated complications in minimally invasive ventral mesh rectopexy: a systematic review
Gabriel Fridolin Hess, Fabio Nocera, Stephanie Taha-Mehlitz, Sebastian Christen, Marco von Strauss Und Torney, Daniel C. Steinemann
Surgical Endoscopy.2024; 38(12): 7073. CrossRef
Modified robotic ventral rectopexy with folded single titanized mesh suspension for the treatment of complex pelvic organ prolapse
Bernardina Fabiani, Alessandro Sturiale, Lisa Fralleone, Claudia Menconi, Vittorio d'Adamo, Gabriele Naldini
Colorectal Disease.2023; 25(3): 453. CrossRef
Natural Orifice Transanal Endoscopic Rectopexy for Complete Rectal Prolapse: Prospective Evolution of a New Technique and Short-term Outcomes
Abhijit Chandra, Pritheesh Rajan, Vivek Gupta, Saket Kumar, Mahesh Rajashekhara, Ravi Patel, Bharat Sangal, Vikram Singh
Diseases of the Colon & Rectum.2023; 66(1): 118. CrossRef
Assessment of feasibility of abdominal mesh vaginorectopexy in the repair of multiple pelvic organ prolapse
Mohamed Mazloum Zakareya, Walid Galal Elshazly, Ahmed Mohamed Moaz, Bassem Khamis Hegazy
Alexandria Journal of Medicine.2023; 59(1): 15. CrossRef
A quantitative study to explore functional outcomes following laparoscopic ventral mesh rectopexy for rectal prolapse
O Olatunbode, S Rangarajan, V Russell, YKS Viswanath, A Reddy
The Annals of The Royal College of Surgeons of England.2022; 104(6): 449. CrossRef
Postoperative complications and pelvic organ prolapse recurrence following combined pelvic organ prolapse and rectal prolapse surgery compared with pelvic organ prolapse only surgery
Shannon L. Wallace, Youngwu Kim, Erica Lai, Shailja Mehta, Bertille Gaigbe-Togbe, Chiyuan Amy Zhang, Emily C. Von Bargen, Eric R. Sokol
American Journal of Obstetrics and Gynecology.2022; 227(2): 317.e1. CrossRef
A Collaborative Approach to Multicompartment Pelvic Organ Prolapse
Brooke Gurland, Kavita Mishra
Clinics in Colon and Rectal Surgery.2021; 34(01): 069. CrossRef
Postoperative complications and recurrence rates after rectal prolapse surgery versus combined rectal prolapse and pelvic organ prolapse surgery
Shannon L. Wallace, Ekene A. Enemchukwu, Kavita Mishra, Leila Neshatian, Bertha Chen, Lisa Rogo-Gupta, Eric R. Sokol, Brooke H. Gurland
International Urogynecology Journal.2021; 32(9): 2401. CrossRef
European Society of Coloproctology guidance on the use of mesh in the pelvis in colorectal surgery
Yasuko Maeda, Eloy Espin‐Basany, Kim Gorissen, Mia Kim, Paul‐Antoine Lehur, Lilli Lundby, Ionut Negoi, Gregor Norcic, P. Ronan O’Connell, Tero Rautio, Bart van Geluwe, Gabrielle H. van Ramshorst, Andrea Warwick, Carolynne J. Vaizey
Colorectal Disease.2021; 23(9): 2228. CrossRef
Transvaginal rectopexy using the Flex® Colorectal Drive Robotic System: a proof-of-concept approach to rectal prolapse
J. O. Paull, A. Graham, S. Parascandola, S. Hota, S. Stein, B. Umapathi, A. Abdullah, N. Pudalov, V. Obias
Techniques in Coloproctology.2020; 24(5): 471. CrossRef
Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females
Yang Yang, Yong-Li Cao, Yuan-Yao Zhang, Shou-Sen Shi, Wei-Wei Yang, Nan Zhao, Bing-Bing Lyu, Wen-Li Zhang, Dong Wei
World Journal of Clinical Cases.2020; 8(23): 5873. CrossRef
Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females
Yang Yang, Yong-Li Cao, Yuan-Yao Zhang, Shou-Sen Shi, Wei-Wei Yang, Nan Zhao, Bing-Bing Lyu, Wen-Li Zhang, Dong Wei
World Journal of Clinical Cases.2020; 8(23): 5876. CrossRef
Clinical Outcome and Surgical Technique of Laparoscopic Posterior Rectopexy Using the Mesh With Anti-adhesion Coating
Yasunori Matsuda, Masahiro Nishikawa, Satoshi Nishizawa, Yoshinori Yane, Hokuto Ushijima, Taigo Tokuhara
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(4): e41. CrossRef
Comparison of Delorme-Thiersch Operation Outcomes in Men and Women With Rectal Prolapse
Keehoon Hyun, Seo-Gue Yoon
Annals of Coloproctology.2019; 35(5): 262. CrossRef

Reviews

Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review: Andrea Balla, Silvia Quaresima, Sebastian Smolarek, Mostafa Shalaby, Giulia Missori, Pierpaolo Sileri; Ann Coloproctol. 2017;33(2):46-51. Published online April 28, 2017; DOI: https://doi.org/10.3393/ac.2017.33.2.46

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47 Web of Science
44 Citations

Abstract PDF

Purpose

This review reports the incidence of mesh-related erosion after ventral mesh rectopexy to determine whether any difference exists in the erosion rate between synthetic and biological mesh.

Methods

A systematic search of the MEDLINE and the Ovid databases was conducted to identify suitable articles published between 2004 and 2015. The search strategy capture terms were laparoscopic ventral mesh rectopexy, laparoscopic anterior rectopexy, robotic ventral rectopexy, and robotic anterior rectopexy.

Results

Eight studies (3,956 patients) were included in this review. Of those patients, 3,517 patients underwent laparoscopic ventral rectopexy (LVR) using synthetic mesh and 439 using biological mesh. Sixty-six erosions were observed with synthetic mesh (26 rectal, 32 vaginal, 8 recto-vaginal fistulae) and one (perineal erosion) with biological mesh. The synthetic and the biological mesh-related erosion rates were 1.87% and 0.22%, respectively. The time between rectopexy and diagnosis of mesh erosion ranged from 1.7 to 124 months. No mesh-related mortalities were reported.

Conclusion

The incidence of mesh-related erosion after LVR is low and is more common after the placement of synthetic mesh. The use of biological mesh for LVR seems to be a safer option; however, large, multicenter, randomized, control trials with long follow-ups are required if a definitive answer is to be obtained.

Citations

Citations to this article as recorded by

Feasibility and safety of biologic OviTex mesh in ventral mesh rectopexy: a prospective pilot study
M. A. Boom, E. M. van der Schans, N. A. T. Wijffels, P. M. Verheijen, E. C. J. Consten
Techniques in Coloproctology.2025;[Epub] CrossRef
Outcomes of laparoscopic ventral mesh rectopexy versus trans-vaginal repair in management of anterior rectocele, a randomized controlled trial
A. Sanad, A. Sakr, H. Elfeki, W. Omar, W. Thabet, E. Fouda, E. Abdallah, S. A. Elbaz
Techniques in Coloproctology.2025;[Epub] CrossRef
Treatment Outcomes of Laparoscopic Suture Rectopexy for Rectal Prolapse
Takamichi Kudo, Taichi Yabuno, Natsuki Hoshino, Shunya Yamamoto, Yasuko Okutsu, Minoru Honma, Yasuhiro Shimizu
Nihon Daicho Komonbyo Gakkai Zasshi.2025; 78(6): 262. CrossRef
Comparative Study on Robotic Ventral Mesh Rectopexy for External Rectal Prolapse When using Biological and Synthetic Meshes
Michael C. Wilkinson, Allison A. Aka, Alexis Plasencia, Jukes P. Namm, Fabrizio Luca
World Journal of Colorectal Surgery.2025; 14(3): 94. CrossRef
Ventral mesh rectopexy for recurrent rectal prolapse after Altemeier perineal proctosigmoidectomy: feasibility and outcomes
Lukas Schabl, Tracy Hull, Kamil Erozkan, Ali Alipouriani, Kristen A. Ban, Scott R. Steele, Anna R. Spivak
Langenbeck's Archives of Surgery.2024;[Epub] CrossRef
Treatment of complete rectal prolapse using the TEO® platform (transanal endoscopic operation) – a video vignette
Antonio D'Urso, Alfonso Lapergola, Jacques Marescaux, Didier Mutter, Xavier Serra‐Aracil
Colorectal Disease.2024; 26(4): 820. CrossRef
Now is the time to establish a registry for mesh rectopexy
Yui Kaneko, Corina Behrenbruch, James Keck
ANZ Journal of Surgery.2024; 94(7-8): 1209. CrossRef
Mesh-associated complications in minimally invasive ventral mesh rectopexy: a systematic review
Gabriel Fridolin Hess, Fabio Nocera, Stephanie Taha-Mehlitz, Sebastian Christen, Marco von Strauss Und Torney, Daniel C. Steinemann
Surgical Endoscopy.2024; 38(12): 7073. CrossRef
Anatomic and functional results of ventral biological mesh rectopexy for posterior pelvic floor disorders
F. Rogier-Mouzelas, F. Drissi, J. Podevin, E. Duchalais, G. Meurette
Journal of Visceral Surgery.2023; 160(3): 188. CrossRef
Building a Multidisciplinary Pelvic Floor Clinic: Why Bother?
Alison Hainsworth, Linda Ferrari, Sachin Malde, Lucia Berry
Seminars in Colon and Rectal Surgery.2023; 34(1): 100933. CrossRef
Management of full thickness rectal prolapse
Charlotte M. Rajasingh, Brooke H. Gurland
Seminars in Colon and Rectal Surgery.2023; 34(1): 100938. CrossRef
Résultats anatomiques et fonctionnels de la rectopexie ventrale avec renfort par bio-prothèse pour trouble de la statique rectale
F. Rogier-Mouzelas, F. Drissi, J. Podevin, E. Duchalais, G. Meurette
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Evaluation of the Safety and Efficacy of Modified Laparoscopic Suture Rectopexy for Rectal Prolapse
Rina Takahashi, Tetsuo Yamana, Risa Nishio, Kazuhiro Sakamoto, Shuko Nojiri, Kiichi Sugimoto
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Comparing the Outcomes and Complication Rates of Biologic vs Synthetic Meshes in Implant-Based Breast Reconstruction
Nathan Makarewicz, David Perrault, Ayushi Sharma, Mohammed Shaheen, Jessica Kim, Christian Calderon, Brian Sweeney, Rahim Nazerali
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Current diagnostic tools and treatment modalities for rectal prolapse
Mustafa Oruc, Timucin Erol
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Moving from Laparoscopic Synthetic Mesh to Robotic Biological Mesh for Ventral Rectopexy: Results from a Case Series
Farouk Drissi, Fabien Rogier-Mouzelas, Sebastian Fernandez Arias, Juliette Podevin, Guillaume Meurette
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Jeremy Meyer, Emilie Liot, Vaihere Delaune, Alexandre Balaphas, Bruno Roche, Guillaume Meurette, Frédéric Ris
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Mesh-related complications and recurrence after ventral mesh rectopexy with synthetic versus biologic mesh: a systematic review and meta-analysis
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Omar Marghich, Benjamin Benichou, Efoé-Ga Yawod Olivier Amouzou, Alexandre Maubert, Jean Hubert Etienne, Emmanuel Benizri, Mohamed Amine Rahili
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M. Brunner, H. Roth, K. Günther, R. Grützmann, Klaus E. Matzel
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M. Brunner, H. Roth, K. Günther, R. Grützmann, K. E. Matzel
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Erosion after laparoscopic ventral mesh rectopexy with a biological mesh
M. Shalaby, A. Matarangolo, I. Capuano, G. Petrella, P. Sileri
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Surgical Treatment of Rectal Prolapse: Eung Jin Shin; J Korean Soc Coloproctol. 2011;27(1):5-12. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.5

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34 Citations

Abstract PDF

Rectal prolapse is defined as a protrusion of the rectum beyond the anus. Although rectal prolapse was recognized as early as 1500 BC, the optimal surgical procedure is still debated. The varied operative procedures available for treating rectal prolapsed can be confusing. The aim of treatment is to control the prolapse, restore continence, and prevent constipation or impaired evacuation. In elderly and high-risk patients, perineal approaches, such as Delorme's operation and Altemeier's operation, have been preferred, although the incidence of recurrence and the rate of persistent incontinence seem to be high when compared with transabdominal procedures. Abdominal operations involve dissection and fixation of the rectum and may include a rectosigmoid resection. From the late twentieth century, the laparoscopic procedure has been applied to the treatment of rectal prolapse. Current laparoscopic surgical techniques include suture rectopexy, stapled rectopexy, posterior mesh rectopexy with artificial material, and resection of the sigmoid colon with colorectal anastomosis with or without rectopexy. The choice of surgery depends on the status of the patient and the surgeon's preference.

Citations

Citations to this article as recorded by

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Original Article

Laparoscopic Suture Rectopexy for Rectal Prolapse.: Yoon, Seo Gue , Kim, Khun Uk , Noh, Khun Young , Lee, Jung Kyun , Kim, Kwang Yun; J Korean Soc Coloproctol. 2002;18(2):89-94.

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Abstract PDF: PURPOSE
This study was undertaken to eveluate the early results of the laparoscopic suture rectopexy in the treatment of rectal prolapse.
METHODS
From May 1999 to July 2001, laparoscopic suture rectopexy (LSR) was successfully performed in 26 patients and the results were compared to those of 5 patients with open suture rectopexy (OSR) and 6 patients with open resection rectopexy (ORR). Preoperative and postoperative functional assessment included Wexner's incontinence score, constipation score, and anorectal manometry.
RESULTS
Immediate postoperative morbidity was minimal in all groups. Bowel function was resumed significantly sooner (P=0.001), the numbers of the analgesics injection were significantly fewer (P<0.001) and postoperative hospital stay was significantly shorter (P<0.001) in the LSR than in the open groups. Postoperatively, the anal resting and squeezing pressures increased slightly and Wexner's incontinence score decreased significantly in all groups of patients. Constipation score decreased slightly in all groups of patients after surgery. There was one mucosal prolapse recurrence after surgery in the LSR.
CONCLUSIONS
Laparoscopic suture rectopexy for rectal prolapse can be performed safely. Recovery is uneventful and of shorter duration after the laparoscopic than after the open approach. Functional results are obtained similarly with both approaches.

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