Title: Suture rectopexy in the Management of Rectal prolapse in adults
Authors: Dr Nagesh.N.S., Dr Dharmendra.B.L
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.141
Abstract
Complete rectal prolapse is a circumferential full thickness descent of the rectum, which should be differentiated from prolapsing hemorrhoids, one of the common surgical problems we encounter which were treated by either abdominal approach or perineal approach with numerous variations in the technique.
It is a Retrospective study including cases operated for Rectal prolapse in the Department of surgical Gastroenterology from 2005 to 2015, a total of 58 cases operated for rectal prolapsed with abdominal approach, The operative procedures performed were Laparoscopic suture rectopexy (44), Lap converted open suture rectopexy (13), Open suture rectopexy(1), Re-do resection rectopexy (2), perineal repairs were excluded from the study
There were 58 cases operated totally and 44 Laparoscopic suture rectopexy and 13 Lap converted open rectopexy one case of open rectopexy. Most common symptom was H/O mass per anum, irreducible mass in 10cases, constipation in 10 cases, Hospital stay post operatively was longer for lap converted open and open rectopexy compared to laparoscopic rectopexy, complications include pelvic abscess, recurrent partial prolapse, Two cases of redo resection rectopexy, for post op persistent constipation in one case and sigmoid perforation in other case, no immediate mortality observered.
Posterior mobilization with Laparoscopic suture rectopexy is an effective and simple treatment for the complete rectal prolapse, it can be advocated in all patients fit for surgery which has lesser hospital stay and early recovery
Keywords: laparoscopic rectopexy, suture rectopexy, Posterior mobilization
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