title: Anterior rectopexy for full-thickness rectal prolapse: Technical and functional results.
abstract: OBJECTIVE
  To assess effectiveness, complications, recurrence rate, and recent improvements of the anterior rectopexy procedure for treatment of total rectal prolapse.
  
  
  METHODS
  MEDLINE, PubMed, EMBASE, and other relevant database were searched to identify studies. Randomized controlled trials, non-randomized studies and original articles in English language, with more than 10 patients who underwent laparoscopic ventral rectopexy for full-thickness rectal prolapse, with a follow-up over 3 mo were considered for the review.
  
  
  RESULTS
  Twelve non-randomized case series studies with 574 patients were included in the review. No surgical mortality was described. Conversion was needed in 17 cases (2.9%), most often due to difficult adhesiolysis. Twenty eight patients (4.8%) presented with major complications. Seven (1.2%) mesh-related complications were reported. Most frequent complications were urinary tract infection and urinary retention. Mean recurrence rate was 4.7% with a median follow-up of 23 mo. Improvement of constipation ranged from 3%-72% of the patients and worsening or new onset occurred in 0%-20%. Incontinence improved in 31%-84% patients who presented fecal incontinence at various stages. Evaluation of functional score was disparate between studies.
  
  
  CONCLUSIONS
  Based on the low long-term recurrence rate and favorable outcome data in terms of low de novo constipation rate, improvement of anal incontinence, and low complications rate, laparoscopic anterior rectopexy seems to emerge as an efficient procedure for the treatment of patients with total rectal prolapse.
authors.affiliation: Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Faucheron
authors.affiliation: Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Trilling
authors.affiliation: Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
authors.forename: Edouard
authors.initials: E
authors.lastname: Girard
authors.affiliation: Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Sage
authors.affiliation: Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Barbois
authors.affiliation: Jean-Luc Faucheron, Bertrand Trilling, Edouard Girard, Pierre-Yves Sage, Sandrine Barbois, Fabian Reche, Colorectal Unit, Department of Surgery, University Hospital, 38043 Grenoble cedex, France.
authors.forename: Fabian
authors.initials: F
authors.lastname: Reche
mesh_terms: D003248:Constipation / Q000209:etiology / Q000503:physiopathology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005242:Fecal Incontinence / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D020127:Recovery of Function; D012005:Rectal Prolapse / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: Anterior rectopexy; Laparoscopy; Recurrence; Results; Systematic review; Total rectal prolapse; Ventral rectopexy