Long-term Outcomes of Laparoscopic Rectopexy for Rectal Prolapse: A Comprehensive Analysis
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Abstract
Background: Rectal prolapse, a debilitating condition, often requires surgical intervention. Laparoscopic techniques, such as posterior mesh rectopexy and suture rectopexy, have been increasingly employed due to their minimally invasive nature. This study aims to evaluate the effectiveness of these procedures in treating rectal prolapse, focusing on long-term recurrence rates, postoperative recovery, and operative factors.
Objective: To assess the effects of laparoscopic posterior mesh rectopexy and laparoscopic suture rectopexy on patients with rectal prolapse, particularly regarding long-term recurrence rates, postoperative recovery, and operational aspects.
Methods: The study involved 14 patients with rectal prolapse, of whom 12 underwent laparoscopic posterior mesh rectopexy and 2 underwent laparoscopic suture rectopexy. Key factors such as the duration of hospital stay, necessity of blood transfusions during the procedure, and changes in constipation status were recorded. A mean follow-up duration of 94 months (7.83 years) was used to evaluate recurrence rates.
Results: The average operating time for the laparoscopic procedures was 120 minutes, with no intraoperative blood transfusions required. Postoperatively, 28.57% of patients reported improvement in constipation, 21.42% experienced no change, and 35.71% saw a worsening of symptoms. Notably, no recurrences of rectal prolapse were observed during the follow-up period. The average hospital stay was four days.
Conclusion: Laparoscopic posterior mesh rectopexy and laparoscopic suture rectopexy are effective and safe in the treatment of rectal prolapse. They demonstrate promising results in terms of operative characteristics, recovery time, and long-term recurrence rates. The findings support the use of these laparoscopic techniques as viable surgical options for rectal prolapse, with positive implications for long-term patient outcomes and constipation management.
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