Mohammedy, M., Abdelhafez, E., Abdelhalim, M. (2023). Laparoscopic Ventral Mesh Rectopexy Versus Posterior Sutured Rectopexy for Treatment of Complete Rectal Prolapse in Females’’. Benha Medical Journal, (), -. doi: 10.21608/bmfj.2023.210433.1815
Medhat Hamdy Mohammedy; Emad Eldin Mostafa Abdelhafez; Mohamed Farid Abdelhalim. "Laparoscopic Ventral Mesh Rectopexy Versus Posterior Sutured Rectopexy for Treatment of Complete Rectal Prolapse in Females’’". Benha Medical Journal, , , 2023, -. doi: 10.21608/bmfj.2023.210433.1815
Mohammedy, M., Abdelhafez, E., Abdelhalim, M. (2023). 'Laparoscopic Ventral Mesh Rectopexy Versus Posterior Sutured Rectopexy for Treatment of Complete Rectal Prolapse in Females’’', Benha Medical Journal, (), pp. -. doi: 10.21608/bmfj.2023.210433.1815
Mohammedy, M., Abdelhafez, E., Abdelhalim, M. Laparoscopic Ventral Mesh Rectopexy Versus Posterior Sutured Rectopexy for Treatment of Complete Rectal Prolapse in Females’’. Benha Medical Journal, 2023; (): -. doi: 10.21608/bmfj.2023.210433.1815
Laparoscopic Ventral Mesh Rectopexy Versus Posterior Sutured Rectopexy for Treatment of Complete Rectal Prolapse in Females’’
1Department of general surgery Faculty of Medicine - Benha University
2Department of general surgery Faculty of Medicine - Benha University
3Department of general surgery Faculty of Medicine - Benha University
Abstract
Background: Complete Rectal prolapse is full-thickness intussusception of the rectal wall extending beyond the anal canal. Women are more commonly affected. It is a surgically correctable problem. There are over 100 surgical techniques that have been described to repair rectal prolapse all of which have a risk of recurrence, and none have been declared as a gold standard. Aim of the Study: Comparing short-term outcomes after laparoscopic ventral mesh rectopexy versus those after laparoscopic posterior sutured rectopexy. Patients and Methods: The current study is a prospective comparative randomized study where the patients had been recruited from the General Surgery Department, Benha University Hospital. Enrollment of eligible patients started in April 2020 and continued till reaching a target of 40 patients in June 2022 subdivided into two groups, A and B, 20 for each. Results : In group A (LVMR); the median operative time was 120.9 min, there is statistically non-significant change in Wexner constipation score, there is statistically significant decrease in Wexner incontinence score and the recurrence rate was 5.3%. In group B (LPSR); the median operative time was 77.21 min, there is statistically non-significant change in Wexner constipation score, there is statistically significant decrease in Wexner incontinence score, the recurrence rate was 11.1%. Conclusion : LVMR has a lower recurrence but longer procedure time, technically demanding with a longer learning curve and so recommended if there is other pelvic organ prolapse that could be repaired by this procedure. LPSR provides comparable outcomes through a simple technique.