Laparoscopic Ventral Rectopexy for Rectoanal Intussusception

Abstract

Evacuation proctography showed anatomical correction in patients with rectoanal intussusception who underwent laparoscopic ventral rectopexy. However, the data also indicate that such correction does not necessarily result in meaningful symptomatic relief.

Quality of life after laparoscopic ventral rectopexy

“…Postoperative proctography revealed that RAI persisted in one patient, while in nine patients the RAI was replaced by RRI. Enterocoele disappeared in all three patients, though the site of the small bowel moved posteriorly to a point along the rectum in two patients, as was shown in our previous study . Grade 1 rectocoele was found in six patients (Table ).…”

Anterior intussusception descent during defecation is correlated with the severity of fecal incontinence in patients with rectoanal intussusception

“…Formijne Jonkers et al [18] have recently reported that 157 patients underwent LVR for RAI, and FI improved or was cured in 78 % of the patients. Similar functional results were reported by other authors [5,6,19,20]. These results suggest that the correction of the anterior rectum may be more important for the treatment of FI.…”

A novel technique of introducing the mesh at the distal dissection while performing laparoscopic ventral rectopexy

“…In patients with RAI, RAI disappeared in all 28 patients except one, and the mean size of the associated rectocele ( n = 14) was significantly reduced [29 (15–59) mm preoperative vs 6 (0–27) mm postoperative, P < 0.0001]. These findings in earlier series of patients were reported previously .…”