Comparison of polyglycolic acid and polypropylene mesh for rectopexy in the treatment of rectal prolapse.
OBJECTIVE
To compare the efficacy of absorbable and non-absorbable mesh for rectal fixation in abdominal rectopexy.


METHODS
Prospective open study.


METHODS
University hospital, Israel.


METHODS
37 consecutive patients with complete rectal prolapse.


METHODS
Posterior abdominal rectopexy with non-absorbable mesh (Polypropylene, Prolene, Ethicon Ltd) in 17 patients and with absorbable mesh (Polyglycolic acid, Dexon, Davis & Geck) in 20.


METHODS
There was no operative mortality, and there were no significant differences between the groups in the incidence of postoperative complications. Mean (SD) follow up was 3.6(0.5) years and 3.8(0.7) years in the Dexon and Prolene groups, respectively. Preoperative and postoperative performance indices based on the Gastrointestinal Quality of Life Index were similar in both groups.


CONCLUSIONS
Dexon mesh may be as effective as Prolene mesh in the treatment of complete rectal prolapse. A performance index seems to be a useful tool for evaluating the outcome of patients after repair of complete rectal prolapse.
Galili
Y
Y
Department of Surgery B&C, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Rabau
M
M
D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011100:Polyglycolic Acid; D011126:Polypropylenes; D011446:Prospective Studies; D011788:Quality of Life; D012005:Rectal Prolapse / Q000601:surgery*; D013526:Surgical Mesh; D016896:Treatment Outcome
D011126:Polypropylenes; D011100:Polyglycolic Acid