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

Abstract

Background: Complete rectal prolapse (CRP) is circumferential herniation of all layers of the rectum through the anal sphincter. Patients with CRP may suffer from a long history of constipation, which precedes the prolapse. Surgical correction is the main treatment of complete rectal prolapse in adults. Aim of Study:To assess the outcomes of laparoscopic ventral mesh rectopexy (LVMR) in the management of complete rectal prolapse regarding recurrence rate, operative complications, and post-operative improvement of urine incontinence and constipation.Patients and Methods: This is a clinical trial conducted on 20 patients with rectal prolapse who underwent laparoscopic ventral mesh rectopexy admitted from General Surgery Outpatient Clinic in Fayoum University Hospital in the period from July 2015 to December 2017. Results:Twenty patients, There was a male predominance, 15 male patients (75%) and 5 female patients (25%) The mean age of participants was 34.4 years. There was a significant improvement in constipation and inflammation and ulceration post-operatively. Recurrence occurred in one patient (5%). Conclusion:The use of an anterior approach of laparoscopic rectopexy should be the first-line approach for cases with full-thickness RP. Because LVMR avoids the unnecessary repeated operations with all its psychological and physical impact on patients, the high success rate, minimal recurrence, and low complication rate for this procedure.