Ten-year follow up after laparoscopic suture rectopexy for full-thickness rectal prolapse

2014 ◽  
Vol 16 (10) ◽  
pp. 809-814 ◽  
Author(s):  
C. Foppa ◽  
L. Martinek ◽  
J. P. Arnaud ◽  
R. Bergamaschi
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Laparoscopic Suture ◽  
Suture Rectopexy

Laparoscopic suture rectopexy without resection is effective treatment for full-thickness rectal prolapse

2000 ◽  
Vol 43 (5) ◽  
pp. 638-643 ◽  
Author(s):  
S. M. Heah ◽  
J. E. Hartley ◽  
J. Hurley ◽  
G. S. Duthie ◽  
J. R. T. Monson
Keyword(s):  
Rectal Prolapse ◽  
Effective Treatment ◽  
Full Thickness ◽  
Laparoscopic Suture ◽  
Suture Rectopexy

scholarly journals Pediatric Rectal Prolapse

2018 ◽  
Vol 31 (02) ◽  
pp. 108-116 ◽  
Author(s):  
Rebecca Rentea ◽  
Shawn St Peter
Keyword(s):  
Early Childhood ◽  
Rectal Prolapse ◽  
Conservative Management ◽  
Recurrence Rates ◽  
Laparoscopic Suture ◽  
Suture Rectopexy ◽  
Infancy And Early Childhood ◽  
Limiting Condition

AbstractRectal prolapse is a common and self-limiting condition in infancy and early childhood. Most cases respond to conservative management. Patients younger than 4 years with an associated condition have a better prognosis. Patients older than 4 years require surgery more often than younger children. Multiple operative and procedural approaches to rectal prolapse exist with variable recurrence rates and without a clearly superior operation. These include sclerotherapy, Thiersch's anal cerclage, Ekehorn's rectopexy, laparoscopic suture rectopexy, and posterior sagittal rectopexy.

scholarly journals Rectosigmoid carcinoma presenting as full-thickness rectal prolapse

2019 ◽  
Vol 12 (12) ◽  
pp. e230409
Author(s):  
Daniel Montwedi
Keyword(s):  
Rectal Prolapse ◽  
Pelvic Floor ◽  
Microsatellite Instability ◽  
Colonic Obstruction ◽  
Full Thickness ◽  
Rectosigmoid Junction ◽  
Colorectal Tumour ◽  
Recent Onset ◽  
Rectal Tumour

A 34-year-old man with recent-onset constipation presented with colonic obstruction due to a palpable rectal tumour. Colostomy relieved the obstruction and biopsy revealed carcinoma. During workup, full-thickness rectal prolapse occurred with the tumour at the apex of an intussusception. Imaging revealed a low rectal tumour and no metastases. An abdominal oncological rather than perineal resection of the rectum was planned. At laparotomy, the tumour was reduced and was seen to originate at the rectosigmoid junction. Surgery was successful and follow-up has been clear. Histology revealed an adenocarcinoma with microsatellite instability. Rectal prolapse due to tumour intussusception is very rare. In this young man, it was due to straining at stool because of constipation and tenesmus rather than pelvic floor abnormality. An associated colorectal tumour should be considered in patients with rectal prolapse. In such cases, surgical and adjuvant management may need to be modified.

scholarly journals Paediatric Rectal Prolapse in Rwanda

1996 ◽  
Vol 89 (12) ◽  
pp. 688-689 ◽  
Author(s):  
EJ Chaloner ◽  
J Duckett ◽  
J Lewin
Keyword(s):  
Rectal Prolapse ◽  
Refugee Children ◽  
Anal Margin ◽  
Full Thickness ◽  
Short Term ◽  
South West ◽  
Worm Infestation ◽  
High Incidence ◽  
Underlying Illness

During the 1994 crisis in Rwanda, a high incidence of full-thickness rectal prolapse was noted among the refugee children in the south-west of the country. The prolapses arose as a result of acute diarrhoeal illness superimposed on malnutrition and worm infestation. We used a modification of the Thiersch wire technique in 40 of these cases during two months working in a refugee camp. A catgut pursestring was tied around the anal margin under local, regional or general anaesthesia. This was effective in achieving short-term control of full-thickness prolapse until the underlying illness was corrected. Under the circumstances, no formal follow-up could be arranged; however, no complications were reported and only one patient presented with recurrence.

scholarly journals Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
AbdelAziz Yehya ◽  
Ibrahim Gamaan ◽  
Mohamed Abdelrazek ◽  
Mohamed Shahin ◽  
Ashraf Seddek ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Operative Time ◽  
Randomized Study ◽  
Complete Rectal Prolapse ◽  
University Hospitals ◽  
Laparoscopic Suture ◽  
Suture Rectopexy ◽  
Group B ◽  
Mesh Rectopexy

Purpose. To compare laparoscopic mesh rectopexy with laparoscopic suture rectopexy. Patients and Methods. The prospective study was conducted at Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt between Feb 2010 and Jan 2015. Seventy-eight children with persistent complete rectal prolapse were subjected to laparoscopic rectopexy. Fourteen parents refused to participate. All patients received initial conservative treatment for more than one year. The remaining 64 patients were randomized divided into two equal groups. Group A; 32 patients underwent laparoscopic mesh rectopexy and group B, 32 underwent laparoscopic suture rectopexy. The operative time, recurrence rate, post-operative constipation, and effect on fecal incontinence, were reported and evaluated for each group. Results. Sixty-four cases presented with persistent complete rectal prolapse were the material of this study. They were 40 males and 24 females. Mean age at operation was 8 (5–12) years. All cases were completed laparoscopically. Mean operative time in laparoscopic suture rectopexy was shorter than laparoscopic mesh rectopexy group. No early post-operative complications were encountered. No cases of recurrence with mesh rectopexy group while in suture rectopexy group it was 4 cases (14.2%). Post-operative constipation occurred in one case (3.57%) in suture rectopexy group and occurred in one case (3.3%) in mesh rectopexy group. Fecal incontinence improved in 26/28 cases (92.8%) in suture rectopexy while in mesh rectopexy it was improved in 30/30 cases (100%) of cases. Conclusion. Both laparoscopic mesh and suture rectopexy are feasible and reliable methods for the treatment of complete rectal prolapse in children. However, no recurrence, low incidence of constipation and high improvement of incontinence at follow up more than 36 months with mesh rectopexy accordingly, we considered mesh rectopexy to be the procedure of choice in treatment of complete rectal prolapse.

Laparoscopic nonresectional suture rectopexy in the management of full-thickness rectal prolapse: substantive retrospective series

2010 ◽  
Vol 25 (4) ◽  
pp. 1062-1064 ◽  
Author(s):  
Jonathan Wilson ◽  
Alec Engledow ◽  
James Crosbie ◽  
Tan Arulampalam ◽  
Roger Motson
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Suture Rectopexy
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