title: [Rectopexy to the left inguinal ligament. Technique and preliminary results].
abstract: We report the procedure and the results of a new surgical technique for adult rectal prolapse by left inguinal ligament rectopexy. Seven patients were operated on, and presented with total rectal prolapse (n = 6) or internal procidentia associated with a solitary rectal ulcer syndrome (n = 1). Mean follow-up was 64 months (56-78 months). One patient experienced a postoperative complication: a regressive temporary dysesthesia of the left lateral femoral cutaneous nerve. Three patients had mild postoperative constipation. There was no recurrence. Preliminary results show that it is a suitable procedure. It may be successfully applied to the treatment of rectal prolapse and internal procidentia complicated by a solitary rectal ulcer syndrome, particularly when the use of synthetic material is precluded after a rectal wound. Further studies are required to confirm these preliminary results.
authors.affiliation: Service de Chirurgie Générale et Digestive, Hôpital Sainte-Marguerite, Marseille.
authors.forename: I
authors.initials: I
authors.lastname: Sielezneff
authors.forename: M
authors.initials: M
authors.lastname: Benmamer
authors.forename: C
authors.initials: C
authors.lastname: Brunet
authors.forename: E
authors.initials: E
authors.lastname: Salle
authors.forename: B
authors.initials: B
authors.lastname: Sastre
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003248:Constipation / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006119:Groin; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012002:Rectal Diseases / Q000601:surgery*; D012005:Rectal Prolapse / Q000601:surgery*; D014456:Ulcer / Q000601:surgery*
vernacular_title: La rectopexie rétrocrurale gauche. Technique et résultats préliminaires.