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VOLUME 15 , ISSUE 3 ( September-December, 2022 ) > List of Articles

Original Article

Short-term Outcomes of Laparoscopic Ventral Approach of Rectopexy with Polypropylene Mesh for Rectal Prolapse

Ayman M Essawy, Ahmed E Fares, Ashraf M Thabet, Khaled M Bauomie

Keywords : Laparoscopy, Polypropylene mesh, Rectal prolapse, Rectopexy

Citation Information : Essawy AM, Fares AE, Thabet AM, Bauomie KM. Short-term Outcomes of Laparoscopic Ventral Approach of Rectopexy with Polypropylene Mesh for Rectal Prolapse. World J Lap Surg 2022; 15 (3):215-219.

DOI: 10.5005/jp-journals-10033-1538

License: CC BY-NC 4.0

Published Online: 08-12-2022

Copyright Statement:  Copyright © 2022; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Complete rectal prolapse (CRP) is a disease in which all layers of the rectum herniate through the anal sphincter. Patients with CRP may complain of constipation which precedes the prolapse. Aim of the study: To evaluate the efficacy of laparoscopic ventral mesh rectopexy (LVMR) in the management of CRP. Patients and methods: This trial was conducted on 20 patients with rectal prolapse (RP) who underwent LVMR admitted from the general surgery outpatient clinic in Fayoum University Hospital in the period from July 2015 to December 2017. Results: We included 15 male patients (75%) and 5 female patients (25%), the average age of participants was 34.4 years. There was a significant improvement in constipation and inflammation and ulceration postoperatively. Recurrence occurred in one patient (5%). Conclusion: The utilization of an anterior approach of laparoscopic technique is the approach of choice for patients with full-thickness RP. The LVMR has the advantage of avoiding unnecessary repeated operations with all its physical and psychological effects on patients, minimal recurrence, a high success rate, and a low complication rate for this procedure.

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