LAPAROSCOPIC VENTRAL PROLEN MESH RECTOPEXY FOR RECTAL PROLAPSE

Ngọc Giao Đoàn, Minh Tiệp Cao

Main Article Content

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.

Article Details

References

1. Jan Rakinic, Lisa Susan Poritz (2018), “Rectal prolapse treatment and management”. Drugs and Diseases, Medscape, 3.2018.
2. Badrek-Al Amoudi AH, Greenslade GL, Dixon AR. How to deal with complications after laparoscopic ventral mesh rectopexy: lessons learnt from a tertiary referral centre. Colorectal Dis 2013;15(06):707–712
3. Tomohide Hori, Daiki Yasukawa, Takafumi Machimoto. Surgical options for full-thickness rectal prolapse: current status and institutional choice. Ann Gastroenterol. 2018 Mar-Apr; 31(2): 188–197.
4. D'Hoore A, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg. 2004 Nov;91(11):1500-5.
5. N Shastri-Hurst, D. R. McArthur. Laparoscopic Rectopexy for Rectal Prolapse: Will it be the Gold Standard? Indian J Surg. 2014 Dec; 76(6): 461–466.
6. Formijne Jonkers HA, Maya A, Draaisma WA, Bemelman WA, Broeders IA, Consten EC, Wexner SD. Laparoscopic resection rectopexy versus laparoscopic ventral rectopexy for complete rectal prolapse. Tech Coloproctol. 2014;18:641–646
7. Naeem M, Anwer M, Qureshi MS. Short term outcome of laparoscopic ventral rectopexy for rectal prolapse. Pak J Med Sci. 2016;32(4):875-87
8. Cullen et all. Ventral Rectopexy for Rectal Prolapse and Obstructed Defecation. Clin Colon Rectal Surg 2012;25:34–36.
9. D'Hoore A, Penninckx F. Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc. 2006 Dec;20(12):1919-23.
10. Faucheron JL, Trilling B, Girard E, Sage PY, Barbois S, Reche F. Anterior rectopexy for full-thickness rectal prolapse: Technical and functional results. World J Gastroenterol. 2015 Apr 28;21(16):5049-55.