LAPAROSCOPIC VENTRAL PROLEN MESH RECTOPEXY FOR RECTAL PROLAPSE
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Abstract
Aim. To assess the outcomes following laparoscopic ventral prolen mesh rectopexy for rectal prolapse at the Gastrointestinal Surgery Department, Cho Ray hospital. Patients and methods. From Jan. 2016 to June 2021 at the Gastrointestinal Surgery Department, Cho Ray hospital, 58 cases of full-thickness rectal prolapse (36 females and 22 males, mean age = 59.1) following nerve sparing laparoscopic prolen mesh rectopexy were reffered to this study. Outcome measures were operative time, complications, length of hospital stay, postoperative constipation, recurrence rate. Results 58 patients had laparoscopic ventral rectopexy with prolen mesh placement (D’Hoore procedure). There were no operative mortalities. Mean operative time was 108.2 mins. There was no conversion. Mean hospital stay was 4,6 days. Umbilical port site minor infection in 3 (5,1%) patients. Median follow-up was 32.5 months. Postoperatively 10 patients have constipation (17.2%). No recurrence occurred in this group. There were no mortalities. Conclusions Laparoscopic ventral prolen mesh rectopexy for full-thickness rectal prolapse (D’Hoore) appears to be a simple, safe and effective option with low complications and no recurrence rate.
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References
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