title: How to do it--laparoscopic resection rectopexy.
abstract: BACKGROUND
  A variety of surgical strategies have been suggested and many surgical techniques, both abdominal and perineal, have been introduced for treatment of rectal prolapse. All these techniques and approaches are based on the attempt to restore the normal anatomy and physiologic function.
  
  
  METHODS
  In 1992, Berman et al. published the first laparoscopically performed rectopexy. Meanwhile, many different minimally invasive procedures have been described. Throughout the past century, more than 100 different surgical techniques have been introduced to treat patients with rectal prolapse. Unfortunately, there is still lack of one generally accepted standard technique for the surgical treatment of rectal prolapse.
  
  
  CONCLUSIONS
  Our current data strongly supports laparoscopic resection rectopexy to be a safe, fast, and very effective procedure to improve function in patients with rectal prolapse. More evaluations of long-term outcome are needed that focus on each particular laparoscopic procedure to adequately compare different techniques. The indication to perform a laparoscopic resection rectopexy in patients with a previous perineal procedure and a recurrent prolapse should be stated critically because these patients seem to have a high risk to develop yet another recurrence.
authors.affiliation: Department of Surgery, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany. drdr.ujroblick@me.com
authors.forename: Uwe Johannes
authors.initials: UJ
authors.lastname: Roblick
authors.forename: Franz Georg
authors.initials: FG
authors.lastname: Bader
authors.forename: Thomas
authors.initials: T
authors.lastname: Jungbluth
authors.forename: Tilman
authors.initials: T
authors.lastname: Laubert
authors.forename: Hans Peter
authors.initials: HP
authors.lastname: Bruch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D056888:Patient Positioning; D011183:Postoperative Complications; D012005:Rectal Prolapse / Q000601:surgery*; D012008:Recurrence; D011795:Surveys and Questionnaires; D016896:Treatment Outcome