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.
Mohammedy, M., Abdelhafez, E. 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
MLA
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
HARVARD
Mohammedy, M., Abdelhafez, E. 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
VANCOUVER
Mohammedy, M., Abdelhafez, E. 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
)
View on SCiNiTO