Laparoscopic ventral rectopexy for internal rectal prolapse: short-term functional results

Objective  Over the last 15 years, posterior rectopexy, which causes rectal autonomic denervation, was discredited for internal rectal prolapse because of poor results. The condition became medical, managed largely by biofeedback. We aimed to audit the short‐term functional results of autonomic nerv...

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Bibliographic Details
Published in:Colorectal disease 2010-02, Vol.12 (2), p.97-104
Main Authors: Collinson, R., Wijffels, N., Cunningham, C., Lindsey, I.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
constipation
Constipation - etiology
Constipation - surgery
Fecal Incontinence - etiology
Fecal Incontinence - surgery
Female
Follow-Up Studies
Humans
internal rectal prolapse
laparoscopy
Laparoscopy - methods
Male
Middle Aged
occult rectal prolapse
Prospective Studies
Recovery of Function
rectal intussusception
Rectal Prolapse - complications
Rectal Prolapse - surgery
rectopexy
ventral
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Summary:Objective  Over the last 15 years, posterior rectopexy, which causes rectal autonomic denervation, was discredited for internal rectal prolapse because of poor results. The condition became medical, managed largely by biofeedback. We aimed to audit the short‐term functional results of autonomic nerve‐sparing laparoscopic ventral rectopexy (LVR) for internal rectal prolapse. Method  Prospectively collected data on LVR for internal rectal prolapse were analysed. End‐points were changes in bowel function (Wexner Constipation Score and Fecal Incontinence Severity Index) at 3 and 12 months. Analysis was performed using Mann–Whitney U‐test for unpaired data and Wilcoxon signed rank test for paired data (two‐sided p‐test). Functional outcomes were compared with those achieved previously for external rectal prolapse (ERP). Results  Seventy‐five patients underwent LVR (median age 58, range 25–88 years, median follow up was 12 months). Mortality (0%), major (0%) and minor morbidity (4%) were acceptably low. Median length of stay was 2 days. Preoperative constipation (median Wexner score 12) and faecal incontinence (median FISI score 28) improved significantly at 3 months (Wexner 4, FISI 8, both P 
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2009.02049.x