Laparoscopic posterior mesh rectopexy for rectal prolapse: Our experience

Abstract

Background: Complete rectal prolapse is not only a physical ailment but also has a huge impact on patient’s mental and social health. A number of surgical methods have been adopted but all have fair outcomes of recurrences and complications in form of constipation.Method: Between July 2018 to December 2019 a total of 20 patients presenting with complete rectal prolapse underwent laparoscopic posterior mesh rectopexy in our hospital. In this prospective study we have tried to analyse the outcomes of this novel approach in terms of recurrence, fecal incontinence and constipation.Result: In the follow up period of 6 months no recurrence was found. Post operative complication was seen in 4 patients as pelvic sepsis and retrograde ejaculation. Fecal incontinence was significantly improved from preoperative baseline. Most of the patients developed a normal bowel habit with acceptable level of constipation.Conclusion: It can be safely concluded that laparoscopic mesh rectopexy not only has an advantage of it being minimally invasive, it also provides acceptable levels of postoperative results in terms of recurrence, fecal incontinence and constipation as compared to open rectopexy found in other studies.