Abstract
The authors propose a new laparoscopic technique for correction of rectal prolapse. The unique feature of this technique is that it avoids any posterolateral dissection of the rectum. The mesh is sutured to the anterior aspect of the rectum to inhibit intussusception. The technique was applied in 109 consecutive patients to correct total rectal prolapse. Conversion was needed for four patients. No postoperative mortality or major morbidity occurred. Minor morbidity was noted for 7% of the patients, and a recurrence rate of 3.66% was observed. Because this technique limited the dissection and the subsequent risk of autonomic nerve damage, a cure comparable with that resulting from classical mesh rectopexy can be anticipated.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Brazzelli M, Bachoo P, Grant A (2004) Surgery for complete rectal prolapse in adults (Cochrane Review). From the Cochrane Library, Issue 2, Chichester, UK
Broden B, Snellman B (1968) Procidentia of the rectum studied with cineradiography: a contribution to the discussion of causative mechanism. Dis Colon Rectum 11: 330–347
Brown AJ, Anderson JH, McKee RF, Finlay IG (2004) Strategy for selection of type of operation for rectal prolapse based on clinical criteria. Dis Colon Rectum 47: 103–107
Classic articles in colonic and rectal surgery. Roscoe Reid Graham 1890–1948 (1985) The operative repair of massive rectal prolapse. Dis Colon Rectum 28: 374–379
D’Hoore A, Cadoni R, Penninckx F (2004) Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg 91: 1500–1505
Eu KW, Seow-Choen F (1997) Functional problems in adult rectal prolapse and controversies in surgical management. Br J Surg 84: 904–911
Maliba TE, Baig MK, Wexner SD (2005) Surgical management of rectal prolapse. Arch Surg 140: 63–73
Mellgren A, Bremmer S, Johansson C, Dolk A, Uden R, Ahlback SO, Holmstrom B (1994) Defecography: results of investigations in 2,816 patients. Dis Colon Rectum 37:1133–1141
Mollen RM, Kuipers JH, Van Hoek F (2000) Effects of rectal mobilization and lateral ligaments division on colonic anorectal function. Dis Colon Rectum 43: 1283–1287
Penninckx F, D’Hoore A, Sohier S, Kerremans R (1996) Abdominal rectopexy versus Delorme’s procedure for rectal prolapse: a predictable outcome. Int J Colorectal Dis 12: 49–50
Salkeld G, Bagia M, Solomon M (2004) Economic impact of laparoscopic versus open abdominal rectopexy. Br J Surg 91: 1188–1191
Scaglia M, Fasth S, Hallgren T, Nordgren S, Oresland T, Hulten L (1994) Abdominal rectopexy for rectal prolapse: influence of surgical technique on functional outcome. Dis Colon Rectum 37: 805–813
Senagore AJ (2003) Management of rectal prolapse: the role of laparoscopic approaches. Semin Laparosc Surg 10: 197–202
Speakman CTM, Madden MV, Nicholls RJ, Kamm MA (1991) Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg 78: 1431–1433
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
D’Hoore, A., Penninckx, F. Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc 20, 1919–1923 (2006). https://doi.org/10.1007/s00464-005-0485-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-005-0485-y