Management of recurrent rectal prolapse using Notaras technique

ABSTRACT

Twenty one patients with recurrent rectal prolapse were treated via transabdominal rectopexy, using a prolene mesh applied to the back of rectum and fixed to the promontory of sacrum [Notars Technique, 1973]. Seventeen patients [80.9%] passed smooth, nice postoperative period with good satisfactory results postoperatively. Three patients [14.3%] got severe intraabdominal sepsis and the mesh was removed. One patient [4.8%] got recurrence after 3 months, he needed reoperation with resection of the rectosigmoid colon and refixation again. The satisfactory results obtained in the 17 patients [80.9%] encourage the use of this technique in comparison to other techniques and satisfactory postoperative observation and follow-up of patients for two years encourages the use of this technique, we prefer the use of prolene mesh instead of mersilene mesh used by Notaras to avoid severe infection