Application of laparoscopic ventral rectal fixation in rectal prolapse

Abstract

Objective To explore the clinical value of laparoscopic ventral rectopexy for rectal prolapse. Methods From Jan 2013 to Jan 2017, 26 patients with complete rectal prolapse were divided into control group (15 patients) undergoing laparoscopic rectal fixation, and 11 patients in study group were treated with rectal ventral fixation. Results There was no significant difference in operation time, bleeding volume and exhaust time between the two groups (t=1.839, 0.138, 0.932, all P>0.05). In the study group, 2 cases had temporarily postoperative fever. Following up for 12 to 36 months, 1 case recurred in the control group and 1 case in the study group. The length of rectal prolapse was about 2 cm. Of the 7 patients with constipation in the control group, symptoms disappeared in 2 cases, symptoms improved in another 2 cases, and 5 cases had new constipation. Of the 4 patients with anal incontinence, 2 cases had recovered and 1 case had symptoms improved. Among the 6 patients with constipation in the study group, symptoms disappeared in 3 cases, symptoms improved in 2 cases. Of the 3 patients with pelvic prolapse, 2 cases recovered and 1 case improved. The pelvic prolapse and constipation in the study group was less severe than that in the control group (χ2=4.909, P<0.05). Conclusion Laparoscopic rectal ventral fixation for the treatment of complete rectal prolapse is less traumatic, safor and more effective. Key words: Rectal prolapse; Colorectal surgery; Laparoscopy