RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162531962
T1 Rectopexy and Posterior Mesh Repair for Rectal Prolapse
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162531962
RD 2024/04/23
AB For  full-thickness  rectal  prolapse,  there  are  several  commonly  used  laparoscopic  operations.  Laparoscopic  sigmoid  colectomy  and  suture  rectopexy  is  ideal  for  patients  with  full-thickness  prolapse  and  with  moderate  to  severe  constipation  (<1  bowel  movement  every  3  days).  For  patients  without  constipation,  resection  is  to  be  avoided.  A  simple  sutured  rectopexy  or  a  posterior  mesh  repair  (modified  Wells  repair)  will  suffice.  The  anterior  mesh  repair  (Ripstein  procedure)  is  not  favored,  as  it  tends  to  lead  to  postoperative  constipation  because  the  rectum  is  completely  surrounded  by  nondistensible  mesh  (anteriorly)  and  sacrum  (posteriorly).