A Prospective Study of Complete Rectal Prolaps Cases Treated with Abdominal Rectopexy using Prolene Mesh or Simple Suture
Journal: International Journal of Science and Research (IJSR) (Vol.9, No. 6)Publication Date: 2020-06-05
Authors : Dr Marshall Daud Kerketta; A. K. Tiwary; Dr Bikram Kumar; Dr Hikeno K Yeptho; Dr Akash Kumar Gupta; Dr Manoj Kumar Das; Dr Chandan Kumar Samal; Dr Kavita Topno;
Page : 103-106
Keywords : Complete rectal prolapse; abdominal rectopexy; simple suture; mesh rectopexy;
Abstract
Complete rectal prolapse case is difficult to treat as there is too much of options available but none of them gives confidence to surgeon. Aim of surgery is to restore physiology by correcting the prolapse and improving continence and constipation with acceptable mortality and recurrence rates. Perineal procedures are done for older frail patients with significant comorbidity where as abdominal operations are ideal for young and fit patients. In recent time laparoscopic treatment procedure is also changing the scenario, with their advantages of early recovery, less pain and less morbidity. In our study we have done abdominal rectopexy with a prolene mesh or done only suture rectopexy. We had operated on 26 patients of complete rectal prolapsed cases and assesed primary outcome measure (recurrence) and secondary outcome measures like-- length of hospital stay, constipation, faecal incontinence, morbidity, mortality etc.
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