[Laparoscopic rectopexis].
BACKGROUND
Rektopexis is an effective treatment method of rectal prolapses. Our retrospective study assessed the laparoscopic rectopexis results.


METHODS
From 01-01-2003 to 31-11-2005, 10 patients were indicated for the procedure of laparoscopic retropexis. A "Vypro" mesh (Johnson&Johnson) was used to suspend the rectum. We fix it to the sacrum and to the rectum with an anchor (Eanchr, Johnson&Johnson). The follow-up examinations were conducted 2-30 months after the procedure. We assessed mortality rates, morbidity rates, the prolaps relapses incidence rates, obstipation incidence rates.


RESULTS
The laparoscopic procedure was completed in 9 patients. In one case, we converted. The mortality and serious postoperative morbidity rate was 0%. The mean duration of hospitalization was 7 days. During the follow-up, no patient relapsed. One female patient complained of mild postoperative obstipation, which, however, did not require surgical revision.


CONCLUSIONS
Laparoscopic rectopexis is a modern, safe and effective method of the prolaps of the rectum treatment.
Gürlich
R
R
Klinika transplantacní chirurgie IKEM, Praha. robert.gurlich@ikem.cz
Sixta
B
B
Drastich
P
P
Benes
M
M
Cermák
J
J
Oliverius
M
M
Sváb
J
J
D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery*