Authors: A Lauretta R E Bellomo F Galanti C A Tonizzo A Infantino
Publish Date: 2012/10/27
Volume: 16, Issue: 6, Pages: 477-483
Abstract
Laparoscopic ventral rectopexy limits the risk of autonomic nerve damage and the colpopexy allows correction of a concomitant prolapse of the middle compartment The aim of this study is to describe a modified laparoscopic ventral rectocolpopexy procedure with a low approach to the sacral hollow laparoscopic low ventral rectocolpopexy LLVR We propose this technique to manage combined rectogenital prolapseBetween November 2006 and June 2009 all patients with symptomatic rectal prolapse associated with genital prolapse and/or enterocele underwent LLVR Demographics results of imaging studies mortality morbidity and functional outcome were retrospectively analyzedThirty patients underwent LLVR two patients suffered from a fullthickness rectal prolapse while 28 had symptomatic rectoanal intussusception The mean operating time was 94 ± 39 minutes Conversion to laparotomy was never needed Hospital stay ranged between 2 and 14 days mean of 5 ± 25 days No mortality was recorded and only two complications occurred 66 one trocar site incisional hernia and one vaginal suture erosion in a patient who had concomitant hysterectomy After a mean followup of 139 months constipation was completely resolved or improved in 928 patients Significant reduction in the mean Altomare obstructed defecation score 147–56 p 005 was recorded Preoperative incontinence improved after the procedure in all patients affected No new cases of postoperative constipation or fecal incontinence were registered Only one case of recurrence in a patient with rectoanal intussusception was recorded 34 after 19 months
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