Laparoscopic Rectopexis

Czech version

Authors: R. Gürlich ^1,3; B. Sixta ¹; P. Drastich ²; M. Beneš ²; J. Čermák ³; M. Oliverius ¹; J. Šváb ³
Authors‘ workplace: Klinika transplantační chirurgie IKEM, přednosta doc. MUDr. M. Adamec, CSc. ¹; Klinika hepatogastroenterologie IKEM, přednosta doc. MUDr. J. Špičák, CSc. ²; I. chirurgická klinika 1. LF UK Praha, přednosta doc. MUDr. J. Šváb, CSc. ³
Published in: Rozhl. Chir., 2006, roč. 85, č. 5, s. 233-235.
Category: Monothematic special - Original

Overview

Introduction:
Rektopexis is an effective treatment method of rectal prolapses. Our retrospective study assessed the laparoscopic rectopexis results.

Methodology:
From 01-01-2003 to 31-11-2005, 10 patients were indicated for the procedure of laparoscopic retropexis. A “Vypro“ mesh (Johnson&Johnson) was used to suspend the rectum. We fix it to the sacrum and to the rectum with an anchor (Eanchr, Johnson&Johnson). The follow-up examinations were conducted 2-30 months after the procedure. We assessed mortality rates, morbidity rates, the prolaps relapses incidence rates, obstipation incidence rates.

Results:
The laparoscopic procedure was completed in 9 patients. In one case, we converted. The mortality and serious postoperative morbidity rate was 0%. The mean duration of hospitalization was 7 days. During the follow-up, no patient relapsed. One female patient complained of mild postoperative obstipation, which, however, did not require surgical revision.

Conclusion:
Laparoscopic rectopexis is a modern, safe and effective method of the prolaps of the rectum treatment.

Key words:
laparoscopy – rectopexis – prolaps of the rectum