Short-term outcomes of laparoscopic suture rectopexy in the treatment of full-thickness rectal prolapse

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Abstract

Background: Full-thickness rectal prolapse is a debilitating disease that is treated mainly surgically. Various abdominal
and perineal procedures have been reported as a surgical treatment for rectal prolapse. Suture rectopexy by the laparoscopic
approach has recently gained acceptance as a favored surgical technique for rectal prolapse treatment. This study aims to
evaluate the short-term outcomes of laparoscopic suture rectopexy performed for full-thickness rectal prolapse (FTRP).
Patients and Methods: This is a retrospective observational study evaluating laparoscopic suture rectopexy as regards
postoperative recurrence, bowel function, constipation and incontinence, sexual function, and overall satisfaction in a
6-month duration after surgery. The study included 31 adult patients admitted at Ain-Shams University Hospitals with
complete rectal prolapse operated by the same surgical team between January 2021 and December 2022.
Results: Out of 31 patients who underwent laparoscopic suture rectopexy, one case only had a complete recurrence, no
sexual disorders had been reported. Nineteen patients presented with constipation; seven of them had complete resolution,
nine were significantly improved; however, three patients had no change. Eleven patients presented with incontinence,
seven had complete resolution, and the other four were improved according to the Wexner score.
Conclusion: For full-thickness rectal prolapse, laparoscopic suture rectopexy is a safe procedure with a low recurrence
rate and good functional results during the short-term follow-up.

Keywords

The Egyptian Journal of Surgery
Volume 43, Issue 3
July 2024
Pages 1042-1048

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