Stapled laparoscopic rectopexy for rectal prolapse

✍ Scribed by A. Darzi; M. M. Henry; P. J. Gillou; P. Shorvon; J. R. T. Monson

• Publisher: Springer
• Year: 1995
• Tongue: English
• Weight: 286 KB
• Volume: 9
• Category: Article
• ISSN: 0930-2794
• DOI: 10.1007/bf00187773

✦ Synopsis

The widespread success of laparoscopic cholecystectomy has led to the development of a wide range of laparoscopic surgical procedures. Procedures for treating rectal prolapse (Procidentia) may constitute some of the best applications for colorectal laparoscopic techniques. A technique of laparoscopic rectopexy performed using the endo-stapler is described. Twenty-nine consecutive patients have undergone laparoscopic rectopexy. The median age was 71 years (52-89), and male:female ratio was 27:2. One procedure had to be converted to open due to ventilatory difficulties. The mean operative time was 95 minutes . The mean hospital stay was 5 days (4--15). There was no mortality in this series. Morbidity included incisional hernia through a port hole (n = I), extraperitoneal haematoma (n = I), and urinary tract infection with retention (n = 1). In conclusion, laparoscopic abdominal rectopexy is a safe and effective technique in the management of rectal prolapse.