[Abdominal Wells rectopexy with patch micromesh PTFE (Goretex)].
The aim of this study is to discuss the surgical treatment of rectal prolapse. The surgical therapy offers many different options. Beginning from 1970 the anterior rectopexy has been considered a technique with good results, also in the elderly patient, when the general conditions allow it. Author's experience concerns the surgical treatment of 4 patients (2 males and 2 females) with complete symptomatic rectal prolapse, treated with anterior access laparotomy with the technique of Wells, leaving 1/3 of anterior rectal wall free from suture. Patients had a regular postoperative course; only in 1 case there was a delay of the canalization. At 1 year after the rectopexy the results are satisfactory, with absence of recurrence and troubles of the evacuation. The high percentage of successes of the anterior rectopexy is founded on: 1) the mobilization of the rectum, complete or only posterior; the rectal vessels must be respected, but there isn't consent on the opportunity of the section of the lateral ligaments. It may cause a denervation of the anorectum with an alteration of the fecal evacuation; and 2) the process of cicatritation by the employment of mesh and PTFE material that fix the rectum to the sacred maintains it as in the desired position.
Cicconi
M
M
Ospedale Civile di Teramo U.O. di Chirurgia d'Urgenza.
Romanelli
P
P
Cardelli
M
M
Cacciatore
G
G
Cianchini
A
A
Torretta
A
A
Lucantoni
R
R
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D012005:Rectal Prolapse / Q000601:surgery*; D012008:Recurrence; D013526:Surgical Mesh; D013997:Time Factors
D011138:Polytetrafluoroethylene