[Sacral rectopexy-sigmoidectomy in the treatment of rectal prolapse syndrome. Anatomical and functional results].
Various options have been suggested to improve the functional results of abdominal rectopexy for rectal prolapse and to limit the risk of post-operative constipation.


OBJECTIVE
In this prospective study, we evaluated the results of posterior abdominal rectopexy-sigmoidectomy to treat rectal prolapse syndrome in terms of morbidity, anatomic correction and bowel function. Patient benefits after surgery were assessed according to their pre-operative functional status.


METHODS
Twenty patients (14 females, mean age: 42 years) were treated for rectal prolapse with sutured abdominal rectopexy and sigmoidectomy.


RESULTS
(a) Thirteen patients had normal post-operative course. No anastomotic leak occurred. Mean hospital stay was 9.7 days. (b) Anatomical control was obtained in all cases for a mean follow-up of 31.2 months without recurrence. (c) Functional results: bowel movements per week remained unchanged pre- and post-operatively (18.6 +/- 33 vs 18.1 +/- 17). Constipation appeared or worsened in 2 patients (10%). Anal incontinence (n = 6-30%) never worsened post-operatively and improved in 3.


CONCLUSIONS
This prospective clinical study confirmed the important functional disorders occurring in rectal prolapse syndrome. Rectopexy-sigmoidectomy is a valid option with stable mid-term results. Constipation was observed in 10% with no worsening of anal incontinence.
Lehur
P A
PA
Clinique Chirurgicale II, Hôpital Laennec, Nantes.
Guiberteau-Canfrère
V
V
Bruley des Varannes
S
S
Moyon
J
J
Le Borgne
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D003248:Constipation / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011183:Postoperative Complications; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000150:complications / Q000453:epidemiology* / Q000503:physiopathology / Q000601:surgery; D013577:Syndrome
Rectopexie sacrée-sigmoïdectomie dans le traitement du syndrome du prolapsus rectal. Résultats anatomiques et fonctionnels.