Modified mesh rectopexy: a study.
J Postgrad Med
;
2000 Oct-Dec; 46(4): 265-7
Article
in English
| IMSEAR
| ID: sea-117138
ABSTRACT
AIM:
To evaluate the efficacy of modified mesh rectopexy for complete rectal prolapse. SUBJECT ANDMETHODS:
In a prospective study between 1989-1998, 47 patients (25 males and 22 females) underwent modified mesh rectopexy using a "Cross-shaped" knitted monofilament polypropylene. They were followed up for a period of four years postoperatively.RESULTS:
Anatomical repair was achieved in all patients. Preoperative constipation, a complaint in 22 patients, was relieved in 13 patients and need for laxatives decreased in another four. There were no new cases of constipation. Sexual functions were not hampered irrespective of gender. The complications included prolonged ileus (4 patients), faecal impaction (1), partial mucosal prolapse (2) and post-operative obstruction (2). There was no recurrence.CONCLUSION:
This technique aligns the rectum, avoids excessive mobilisation and division of lateral ligaments thus preventing constipation and preserving potency. We recommend this technique for patients with complete rectal prolapse with up to grade 1, 2 and 3 incontinence based on Browning and Parks classification.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Surgical Mesh
/
Aged
/
Female
/
Humans
/
Male
/
Prospective Studies
/
Rectal Prolapse
/
Treatment Outcome
/
Adult
/
Middle Aged
Type of study:
Observational study
Language:
English
Journal:
J Postgrad Med
Year:
2000
Type:
Article
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