Surgery for Rectal Prolapse: Orr-Loygue Ventral Rectopexy With Limited Dissection Prevents Postoperative-Induced Constipation Without Increasing Recurrence

Abstract

Orr-Loygue abdominal ventral rectopexy with limited dissection and preservation of rectal lateral ligaments is a safe and effective procedure for the treatment of complete rectal prolapse, or internal prolapse associated with fecal incontinence or outlet obstruction. Preservation of lateral ligaments seems to prevent postoperative constipation without increasing the risk of prolapse recurrence.

Laparoscopic Ventral Rectopexy for Internal Rectal Prolapse Using Biological Mesh: Postoperative and Short-Term Functional Results

“…Functional results are impressive, showing symptoms resolution in up to 90% of the patients in the short-term followup and above 80% in the longer-term follow-up for both constipation and FI. 2,3,5,6,[20][21][22][23][24][25][26][27] In the present study, 82% of the patients with a grade III and IV internal rectal prolapse complained preoperative constipation. Postoperative constipation improvement was over 80%, and we did not observe any new-onset constipation.…”

Laparoscopic ventral rectopexy using biologic mesh for the treatment of obstructed defaecation syndrome and/or faecal incontinence in patients with internal rectal prolapse: a critical appraisal of the first 100 cases

“…However, if 'pure' ventral rectopexy series are considered, the reduction in post-operative constipation is even greater and new-onset constipation is very rare: FI may improve in up to 91 % of the cases and constipation in up to 86 % of the cases when synthetic mesh is used, at least in short-term follow-up. These percentages are reduced to about 80 % when longerterm follow-up is considered [2,4,5,[29][30][31].…”

Focus on abdominal rectopexy for full-thickness rectal prolapse: meta-analysis of literature

“…Table 5 [41,[44][45][46][47][48][49][50][51][52][53][54][55] shows 13 studies published between 1999 and 2008 with more than 10 patients who underwent mesh rectopexy, with a followup longer than 16 months. The 13 studies contained a total of 607 patients; the largest was based on 109 patients, and the smallest on 14 patients.…”