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. 1999 Feb;13(2):139-41.
doi: 10.1007/s004649900923.

Laparoscopic rectopexy according to Wells

J Himpens  1 , G B Cadière, J Bruyns, M Vertruyen
Affiliations

Laparoscopic rectopexy according to Wells

J Himpens et al. Surg Endosc. 1999 Feb.

Abstract

Background: The laparoscopic approach usually reduces the morbidity of procedures performed by laparotomy. The aim of this study was to demonstrate the usefulness of laparoscopic rectopexy.

Methods: A total of 37 patients were included in this prospective study. The indication was true rectal prolapse in all patients. Incontinence was seen in 33% of the patients. A slightly modified Wells procedure was performed laparoscopically. Postoperatively, the patients were evaluated for resolution of the prolapse and incontinence. They were also questioned about their satisfaction with the procedure.

Results: Laparoscopy was successful in all but one case. Follow-up is available in 32 of 37 patients. Prolapse was cured in all patients, and the incontinence resolved in 11 of 12. In addition, 38% of the patients experienced significant constipation preoperatively versus 5% postoperatively.

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