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Surgical Endoscopy

, Volume 13, Issue 2, pp 139–141 | Cite as

Laparoscopic rectopexy according to Wells

  • J.  Himpens
  • G. B.  Cadière
  • J.  Bruyns
  • M.  Vertruyen
Article

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.

Key words: Laparoscopic rectopexy — Wells procedure — Rectal prolapse — Incontinence — Constipation 

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Copyright information

© Springer-Verlag New York Inc. 1999

Authors and Affiliations

  • J.  Himpens
    • 1
  • G. B.  Cadière
    • 1
  • J.  Bruyns
    • 1
  • M.  Vertruyen
    • 1
  1. 1.Department of GI Surgery, University Hospital Saint Pierre, 322 Hoogstraat, Brussels 1000, BelgiumBelgium

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