Laparoscopic prosthesis fixation rectopexy for complete rectal prolapse.
Five women aged 64-81 years with complete rectal prolapse and incontinence were treated by laparoscopic mobilization of the rectum and posterior fixation to the presacral fascia using Marlex mesh. Mobilization was carried out with standard straight laparoscopic instruments in the first two patients (operating times 3.5 and 4.5 h) and with coaxial curved instruments and ultrasonic dissection in the succeeding three (operating times 2.5, 2.0 and 2.5 h). Restoration to full continence (grade 1) was observed in two patients and to grade 2 in a further two. No recurrence of the prolapse occurred during follow-up of 4-27 months.
Cuschieri
A
A
Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, UK.
Shimi
S M
SM
Vander Velpen
G
G
Banting
S
S
Wood
R A
RA
D000368:Aged; D000369:Aged, 80 and over; D005242:Fecal Incontinence / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D017755:Prosthesis Fitting; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D016896:Treatment Outcome