Surgical options for full-thickness rectal prolapse: current status and institutional choice

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2018 (EN)
Surgical options for full-thickness rectal prolapse: current status and institutional choice (EN)

Kadokawa, Yoshio
Aisu, Yuki
Kimura, Yusuke
Kitano, Taku
Takamatsu, Yuichi
Machimoto, Takafumi
Ito, Tatsuo
Kato, Shigeru
Yoshimura, Tsunehiro
Hori, Tomohide
Yasukawa, Daiki
Hata, Toshiyuki

Full-thickness rectal prolapse (FTRP) is generally believed to result from a sliding hernia through a pelvic fascial defect, or from rectal intussusception. The currently accepted cause is a pelvic floor disorder. Surgery is the only definitive treatment, although the ideal therapeutic option for FTRP has not been determined. Auffret reported the first FTRP surgery using a perineal approach in 1882, and rectopexy using conventional laparotomy was first described by Sudeck in 1922. Laparoscopy was first used by Bermann in 1992, and laparoscopic surgery is now used worldwide; robotic surgery was first described by Munz in 2004. Postoperative morbidity, mortality, and recurrence rates with FTRP surgery are an active research area and in this article we review previously documented surgeries and discuss the best approach for FTRP. We also introduce our institution’s laparoscopic surgical technique for FTRP (laparoscopic rectopexy with posterior wrap and peritoneal closure). Therapeutic decisions must be individualized to each patient, while the surgeon’s experience must also be considered. Keywords Rectal prolapse, rectopexy, laparoscopic surgery, mesh, posterior wrap, peritoneal closure Ann Gastroenterol 2018; 31 (2): 188-197 (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 31, No 2 (2018); 188 (EN)

Copyright (c) 2018 Annals of Gastroenterology (EN)

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