title: Clinical and functional results of abdominal rectopexy with absorbable mesh-graft for treatment of complete rectal prolapse.
abstract: OBJECTIVE
  To report the long term results of abdominal rectopexy in patients with complete rectal prolapse.
  
  
  METHODS
  Ongoing prospective randomised study.
  
  
  METHODS
  Department of Surgery, Westfälische Wilhelms-University, Münster.
  
  
  METHODS
  47 patients with complete rectal prolapse operated on between 1982 and 1989.
  
  
  METHODS
  Abdominal rectopexy with absorbable mesh made of either polyglycolic acid (n = 17) or polyglactine 910 (n = 30).
  
  
  METHODS
  Postoperative complications and late results at a mean of 50.5 (range 2-102) months after operation.
  
  
  RESULTS
  Thirteen patients (28%) developed postoperative complications, most of them minor; there was one enterocutaneous fistula. Thirty five patients (74%) were available for late follow up. There were no case of recurrent prolapse and 5 (14%) had developed mucosal prolapse. Of the 22 patients who had been incontinent before operation, 8 had become totally continent and 6 partially continent Overall continence improved in 18 (51%) of the 35 patients. Three patients who were continent before operation had become incontinent.
  
  
  CONCLUSIONS
  Absorbable mesh is a suitable material for abdominal rectopexy.
authors.affiliation: Department of General Surgery, Westfälische Wilhelms University, Münster, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Winde
authors.forename: B
authors.initials: B
authors.lastname: Reers
authors.forename: H
authors.initials: H
authors.lastname: Nottberg
authors.forename: T
authors.initials: T
authors.lastname: Berns
authors.forename: J
authors.initials: J
authors.lastname: Meyer
authors.forename: H
authors.initials: H
authors.lastname: Bünte
mesh_terms: D000042:Absorption; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011098:Polyglactin 910; D011100:Polyglycolic Acid; D011183:Postoperative Complications; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000150:complications / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012008:Recurrence; D013526:Surgical Mesh
chemical_list: D011100:Polyglycolic Acid; D011098:Polyglactin 910