Resection rectopexy for rectal prolapse

Xynos, Evaghelos; Chrysos, Emmanuel; Tsiaoussis, John; Epanomeritakis, E; Vassilakis, John Sophocles

doi:10.1007/s004649901120

Cited by 72 publications

(57 citation statements)

References 13 publications

(25 reference statements)

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“…However, such patients need to be clinically re-examined so that it can assessed whether these recurrences are incomplete or complete. Previously reported results of both open and laparoscopic resection-rectopexy series have a comparable outcome, with acceptable recurrence rates [27,32,33,35,39,40,41,42,43,44].…”

Section: Rectal Prolapse: What Surgical Therapy Is Appropriate?mentioning

confidence: 83%

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Rectal prolapse: which surgical option is appropriate?

Schiedeck¹,

Schwandner²,

Scheele³

et al. 2004

Langenbecks Arch Surg

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Numerous surgical procedures have been suggested to treat rectal prolapse. In elderly and high-risk patients, perineal approaches such as Delorme's procedure and perineal rectosigmoidectomy (Altemeier's procedure) have been preferred, although the incidence of recurrence and the rate of persistent incontinence seem to be high when compared with transabdominal procedures. Functional results of transabdominal procedures, including mesh or suture rectopexy and resection-rectopexy, are thought to be associated with low recurrence rates and improved continence. Transabdominal procedures, however, usually imply rectal mobilization and fixation, colonic resection, or both, and some concern is voiced that morbidity, in terms of infection or leakage, and mortality could be increased. If we focus on surgical outcome, our own experience of laparoscopic resection-rectopexy for rectal prolapse shows that the laparoscopic approach is safe and effective, and functional results with respect to recurrence are favorable. However, the controversy "which operation is appropriate?" cannot be answered definitely, as a clear definition of rectal prolapse, the extent of a standardized diagnostic assessment, and the type of surgical procedure have not been identified in published series. Randomized trials are needed to improve the evidence with which the optimal surgical treatment of rectal prolapse can be defined.

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Section: Rectal Prolapse: What Surgical Therapy Is Appropriate?mentioning

confidence: 83%

“…In the meantime, several studies highlighted that resection-rectopexy provides excellent functional results with respect to recurrence and postoperative constipation [39,40,41,42,43,44]. In particular, laparoscopic resection-rectopexy has been shown to be safe and effective [39,40,41,42,43,44].…”

Section: Rectal Prolapse: What Surgical Therapy Is Appropriate?mentioning

confidence: 98%

Rectal prolapse: which surgical option is appropriate?

Schiedeck¹,

Schwandner²,

Scheele³

et al. 2004

Langenbecks Arch Surg

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“…The indications for reoperation are identical in laparoscopic and conventional surgery, that is, such postoperative complications as bleeding, ileus, and anastomotic insufficiency. The majority of groups practicing laparoscopic surgery claim an overall advantage of this modality over open surgery for the postoperative course of patients undergoing prolapse surgery [3,44]. For example, in a retrospective analysis of prolapse patients operated on at the University of Erlangen, Germany, over a period of 14 years, Köckerling et al [25] determined an appreciable advantage for laparoscopic patients with regard to postoperative complications, freedom from pain, restoration of spontaneous micturition, and bowel movements.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of rectal prolapse: experience gained in a prospective multicenter study

Rose¹,

Schneider²,

Scheidbach³

et al. 2002

Langenbeck's Archives of Surgery

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The techniques of conventional prolapse surgery can readily be translated to the laparoscopic modality, since oncological criteria do not have to be considered. The usually elderly patients in this group benefit to a particular degree from the known advantages associated with reduced surgical trauma. Perioperative morbidity is determined largely by the surgeon's experience. We therefore believe that rectal prolapse is a suitable indication for the minimally invasive modality in the hands of trained surgeons.

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“…Zu betonen bleibt jedoch, dass die Mehrzahl der Komplikationen konservativ behandelt werden konnte (15,2%). Bezüglich der Operationszeit ist mit zuneh- [24][25][26][27][28].…”

Section: Diskussionunclassified