Stapled laparoscopic rectopexy for rectal prolapse

Abstract

The widespread success of laparoscopic cholecystectomy has led to the development of a wide range of laparoscopic surgical procedures. Procedures for treating rectal prolapse (Procidentia) may constitute some of the best applications for colorectal laparoscopic techniques. A technique of laparoscopic rectopexy performed using the endo-stapler is described. Twenty-nine consecutive patients have undergone laparoscopic rectopexy. The median age was 71 years (52–89), and male:female ratio was 27:2. One procedure had to be converted to open due to ventilatory difficulties. The mean operative time was 95 minutes (50–190). The mean hospital stay was 5 days (4–15). There was no mortality in this series. Morbidity included incisional hernia through a port hole (n=1), extraperitoneal haematoma (n=1), and urinary tract infection with retention (n=1). In conclusion, laparoscopic abdominal rectopexy is a safe and effective technique in the management of rectal prolapse.