Laparoscopic Rectopexy: First Option for Rectal Prolapse

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Laparoscopic Rectopexy: First Option for Rectal Prolapse

Metin Keskin, Dogan Gönüllü, Bora Karip, Emre Balik, M. Türker Bulut
Original article, no. 2, 2016
Background: Rectal prolapse (RP) is one of the benign anorectal diseases and impairs the quality of life due to co-existing constipation and incontinence problems. There is no consensus for the most accurate surgical method for its treatment. Aim: The objective was to evaluate the short- and long-term results of patients with rectal prolapse who underwent surgery in our clinic. Material and Method: A retrospective analysis was performed of 83 patients with RP who underwent surgery between 1997- 2013 in terms of demographic data, surgical technique, complications, and early and late outcomes. Results: The mean age was 45 years (+- 18 years) and 60% (n = 50) of the patients were female. The mean body mass index (BMI) was 24.3 (+- 4.1) kg/m2. The mean age was significantly higher in the transperineal approach (PA group) than transabdominal approach (TA group) (p 0.05). The length of hospital stay was not affected by surgical technique (open or laparoscopic or perineal surgery), but in the subgroup analysis it was significantly shorter for laparoscopic rectopexy (p 0.05). The median follow-up was 80 +- 38.6 months. Ten (12%) patients had recurrence during the follow-up period; however, recurrence was not associated with the type of surgical technique (p = 0.824). Conclusion: Giving consideration to patients additional symptoms and general condition before committing to a surgical method for RP may improve the success rate. Laparoscopic rectopexy should be considered as the first option in the treatment RP owing to its favorable early-term outcomes and acceptable rate of long-term recurrence.