Aspects cliniques et thérapeutiques du prolapsus rectal: étude de 30 cas

Abstract

IntroductionThe rectal prolapse is defined by the intussusception of the final portion of the digestive tract. Several surgical techniques were reported to treat it. Currently the laparoscopic promontofixation became the standard of the rectal prolapse treatment. Through a retrospective study done in surgery A department, the authors analyze the therapeutic problems and show the benefice of laparoscopy (CL) vs. laparotomy (LP).Material and methodsThirty interventions were carried out, including 25 by LP: direct rectopexy in 11 cases associated one time with a sigmoid resection. Twelve patients had Orr and Loygue procedure, Altmeier and Delorme procedures in one time each and five patients had a laparoscopic promontofixation.ResultsMortality was null in our series. The rate of morbidity was 17.3% in LP vs null out of CL the operational average duration was between one hour and 30 minutes (LP) vs two hours (CL). The average duration of stay was four days (LP) vs 48 hours (CL). The long-term results were excellent for the coelioscopy with 1-year follow-up. There were four recurrences in (LP) vs zero in (CL).ConclusionOur experience in laparoscopic treatment in rectal prolapse confirms that the laparoscopic promontofixation is effective, reliable and reproducible. The LP rectopexy seems to be a good alternative in unavailability of the CL.