Laparoscopic ventral rectopexy for rectal prolapse and symptomatic rectocele: an analysis of 245 consecutive patients

H. A. Formijne Jonkers, N. Poierrie, W. A. Draaisma, I. A. M. J. Broeders, E. C. J. Consten*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

54 Citations (Scopus)

Abstract

Aim This retrospective study aimed to determine functional results of laparoscopic ventral rectopexy (LVR) for rectal prolapse (RP) and symptomatic rectoceles in a large cohort of patients. Method All patients treated between 2004 and 2011 were identified. Relevant patient characteristics were gathered. A questionnaire concerning disease-related symptoms as well as the Cleveland Clinic Incontinence Score (CCIS) and Cleveland Clinic Constipation Score (CCCS) was sent to all patients. Results A total of 245 patients underwent operation. Twelve patients (5%) died during follow-up and were excluded. The remaining patients (224 women, nine men) were sent a questionnaire. Indications for LVR were external RP (n=36), internal RP or symptomatic rectocele (n=157) or a combination of symptomatic rectocele and enterocele (n=40). Mean age and follow-up were 62years (range 22-89) and 30months (range 5-83), respectively. Response rate was 64% (150 patients). The complication rate was 4.6% (11 complications). A significant reduction in symptoms of constipation or obstructed defaecation syndrome was reported (53% of patients before vs 19% after surgery, P

Original languageEnglish
Pages (from-to)695-699
Number of pages5
JournalColorectal Disease
Volume15
Issue number6
DOIs
Publication statusPublished - Jun-2013
Externally publishedYes

Keywords

  • Rectal prolapse
  • rectopexy
  • incontinence
  • constipation
  • ABDOMINAL RECTOPEXY
  • CONSTIPATION
  • SIGMOIDECTOMY
  • MANAGEMENT
  • MESH

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