Journal of Society of Surgeons of Nepal (Jul 2016)

Laparoscopic rectopexy for rectal prolapse

  • Vikal Chandra Shakya

DOI
https://doi.org/10.3126/jssn.v18i3.15283
Journal volume & issue
Vol. 18, no. 3

Abstract

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Introduction: Rectal prolapse surgery has been considered advanced laparoscopic surgery; hence it has mostly been performed by open surgery. However, with advancement, laparoscopic rectopexy can be feasible in patients with rectal prolapse. Materials and Methods: This study was done in patients presenting to Surgery Department of Civil Service Hospital who underwent laparoscopic rectopexy from January 2013 to November 2015 Results: There were 8 patients (4 females and 4 males). The mean operative time was 160+49 minutes. The mean postoperative stay was 3+1.21 days. There was no conversion. One child underwent suture rectopexy, whereas adults underwent posterior mesh rectopexy. No patients needed blood transfusion. Postoperatively one patient has constipation, and she needed occasional laxatives. Conclusion: Laparoscopic rectopexy is a minimally invasive advanced procedure with all the advantages of laparoscopy. With further experience operative time could be reduced.

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