Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jul-Aug;32(4):875-9.
doi: 10.12669/pjms.324.10196.

Short term outcome of laparoscopic ventral rectopexy for rectal prolapse

Affiliations

Short term outcome of laparoscopic ventral rectopexy for rectal prolapse

Muhammad Naeem et al. Pak J Med Sci. 2016 Jul-Aug.

Abstract

Objective: To find out the short term outcomes of effectiveness and safety of laparoscopic ventral rectopexy for rectal prolapse.

Methods: It was a descriptive case series study of 31 consecutive patients of rectal prolapse in Colorectal division of Ward 2, Department of General surgery, Jinnah Post Graduate Medical Center, Karachi, from November 2009 to November 2015. These patients were admitted through outpatient department with complains of something coming out of anus, constipation and per rectal bleeding. All patients were clinically examined and baseline investigations were done. All patients underwent laparoscopic repair with ventral mesh placement on rectum.

Results: Among 31 patients, mean age was 45 years range (20 - 72). While females were 14(45%) and males 17(55%). We observed variety of presentations, including solitary rectal ulcers (n=4) and rectocele (n=3) but full thickness rectal prolapse was predominant(n=24). All patients had laparoscopic repair with mesh placement. Average hospital stay was three days. Out of 31 patients, there was one (3.2%) recurrence. Port site minor infection in 3(9.7%) patients, while conversion to open approach was done in two (6.4%), postoperative ileus observed in two (6.4%) patients. one(3.2%) patient developed intractable back pain and mesh was removed six weeks after the operation. one(4.8%) patient complained of abdominal pain off and on postoperatively. No patient developed denovo or worsening constipation while constipation was improved in 21 patients (67%). Sexual dysfunction such as dysperunia in females and impotence in males was not detected in follow up.

Conclusions: This study provides the limited evidence that nerve sparing laparoscopic ventral rectopexy is safe and effective treatment of external and symptomatic internal rectal prolapse. It has better cosmetic and functional outcome as advantages of minimal access and comparable recurrence rate.

Keywords: Complete rectal prolapse management; Laparoscopic nerve sparing ventral rectopexy (LVR); Ventral rectopexy.

PubMed Disclaimer

Figures

Fig-I
Fig-I
Clinical presentation.
Fig-II
Fig-II
Clinical presentation.

References

    1. Cullen J, Rosselli JM, Gurland BH. Ventral Rectopexy for Rectal Prolapse and Obstructed Defecation. Clin Colon Rectal Surg. 2012;25(1):34–36. doi:10.1055/s-0032-1301757. - PMC - PubMed
    1. Kairaluoma MV, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Scand J Surg. 2005;94(3):207–210. - PubMed
    1. Bhandarkar DS. Laparoscopic rectopexy for complete rectal prolapse: mesh, no mesh or a ventral mesh? J Minim Access Surg. 2014;10(1):1–3. doi:10.4103/0972-9941.124448. - PMC - PubMed
    1. Makineni H, Thejeswi P, Rai BKS. Evaluation of Clinical Outcomes after Abdominal Rectopexy and Delorme’s Procedure for Rectal Prolapse: A Prospective Study. J Clin Diagn Res. 2014;8(5) doi:10.7860/JCDR/2014/7787.4353. - PMC - PubMed
    1. D’Hoore A, Penninckx F. Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc. 2006;20(12):1919–1923. - PubMed

LinkOut - more resources