Short-term outcomes of laparoscopic suture rectopexy in the treatment of full-thickness rectal prolapse | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 43, Issue 3, July 2024, Page 1042-1048 PDF (444.18 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/EJSUR.2024.275037.1015 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Kareem Kamel; Ahmad Mamdouh Kelany* ; Tarek Youssef Ahmed; Ahmed Aly Khalil | ||||
| 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 | ||||
| Laparoscopic suture rectopexy; rectal prolapse; short-term outcomes | ||||
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