title: Laparoscopic ventral mesh rectopexy for complete rectal prolapse: A retrospective study evaluating outcomes in North Indian population.
abstract: OBJECTIVE
  To analyze the outcomes of laparoscopic ventral mesh rectopexy in the management of complete rectal prolapse (CRP) in North Indian patients with inherent bulky and redundant colon.
  
  
  METHODS
  The study was conducted at a tertiary health care center of North India. Between January 2010 and October 2014, 15 patients who underwent laparoscopic ventral mesh repair for CRP, were evaluated in the present study. Perioperative outcomes, improvement in bowel dysfunction or appearance of new complications were documented from the hospital records maintained prospectively.
  
  
  RESULTS
  Fifteen patients (9 female) with a median age of 50 years (range, 15-68) were included in the study. The median operative time was 200 min (range, 180-350 min) and the median post-operative stay was 4 d (range, 3-21 d). No operative mortality occurred. One patient with inadvertent small bowel injury required laparotomy on post-operative day 2. At a median follow-up of 22 mo (range, 4-54 mo), no prolapse recurrence was reported. No mesh-related complication was encountered. Wexner constipation score improved significantly from the preoperative value of 17 (range, 5-24) to 6 (range, 0-23) (P < 0.001) and the fecal incontinence severity index score from 24 (range, 0-53) to 2 (range, 0-53) (P = 0.007). No de novo constipation or fecal incontinence was recorded during the follow-up. On personal conversation, all patients expressed satisfaction with the outcome of their treatment.
  
  
  CONCLUSIONS
  Our experience indicates that laparoscopic ventral mesh rectopexy is an effective surgical option for CRP in North Indian patients having a bulky redundant colon.
authors.affiliation: Abhijit Chandra, Saket Kumar, Ajeet Pratap Maurya, Vishal Gupta, Vivek Gupta, Rahul, Department of Surgical Gastroenterology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
authors.forename: Abhijit
authors.initials: A
authors.lastname: Chandra
authors.affiliation: Abhijit Chandra, Saket Kumar, Ajeet Pratap Maurya, Vishal Gupta, Vivek Gupta, Rahul, Department of Surgical Gastroenterology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
authors.forename: Saket
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Abhijit Chandra, Saket Kumar, Ajeet Pratap Maurya, Vishal Gupta, Vivek Gupta, Rahul, Department of Surgical Gastroenterology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
authors.forename: Ajeet Pratap
authors.initials: AP
authors.lastname: Maurya
authors.affiliation: Abhijit Chandra, Saket Kumar, Ajeet Pratap Maurya, Vishal Gupta, Vivek Gupta, Rahul, Department of Surgical Gastroenterology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Gupta
authors.affiliation: Abhijit Chandra, Saket Kumar, Ajeet Pratap Maurya, Vishal Gupta, Vivek Gupta, Rahul, Department of Surgical Gastroenterology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Gupta
authors.affiliation: Abhijit Chandra, Saket Kumar, Ajeet Pratap Maurya, Vishal Gupta, Vivek Gupta, Rahul, Department of Surgical Gastroenterology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
authors.lastname: Rahul
keywords: Complete rectal prolapse; Constipation; Indian population; Redundant sigmoid; Ventral rectopexy