Laparoscopic rectopexy for recurrent rectal prolapse: a safe and simple procedure without a mesh prosthesis.
Two female patients, 65 and 61 years old, respectively, suffering from a recurrent rectal prolapse underwent laparoscopic rectopexy. Our modified method using an ultrasonically activated scalpel (Harmonic Scalpel) and a laparoscopic suturing device (Endo Stich) both shortened and simplified the operation. The operation times were 140 minutes and 120 minutes, respectively. Neither of the patients demonstrated either intraoperative complications or recurrence of the prolapse during the 24-month follow-up. Our procedure using these new instruments could be performed simply, safely, and in a short time, without the use of a mesh prosthesis.
Tsugawa
Kouji
K
Department of Surgery II, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Sue
Kohji
K
Koyanagi
Nobuhiro
N
Hashizume
Makoto
M
Wada
Hiroya
H
Tomikawa
Morimasa
M
Sugimachi
Keizo
K
D000368:Aged; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D012005:Rectal Prolapse / Q000601:surgery*; D012008:Recurrence; D013525:Surgical Instruments; D013536:Suture Techniques; D014465:Ultrasonics