AI Article Synopsis
- - The study focuses on transanal endoscopic surgery as a technique for treating rectal prolapse, highlighting its application for patients who may not be suitable for more common surgical methods like laparoscopic ventral rectopexy.
- - Conducted from 2010 to 2019, the research involved five patients, all of whom experienced uncomplicated recoveries and symptom improvement within a year, accompanied by no recurrences during the average follow-up of six years.
- - The authors believe this method enhances surgical visibility and offers a viable alternative for patients unable to undergo abdominal surgery, thanks to its effective fixation of tissues to prevent reoccurrence of prolapse.
Article Abstract
Purpose: Laparoscopic ventral rectopexy is the most favored surgical treatment for rectal prolapse. Perineal approaches are recommended for frail patients and those with major comorbidities, and in young men to avoid genitourinary disorders. There are very few descriptions in the literature of transanal endoscopic surgery to treat complete rectal prolapse. The aim of this article is to describe our experience with this technique.
Patients And Methods: Patients undergoing transanal endoscopic surgery for rectal prolapse repair between 2010 and 2019 were recruited for the study. Preoperative, surgical, and postoperative variables were recorded. Surgical technique, 30-day morbidity and follow-up are described.
Results: Five patients have been included. The postoperative period was uneventful and all patients were discharged in 48 hours without complications. All showed improved symptoms at 1-year control, and none presented recurrence in a mean follow-up period of 6 years.
Conclusions: The transanal endoscopic procedure allows improved endoscopic vision, and the reconstruction is performed transpelvically by fixing the anastomosis suture to the pelvic wall to prevent recurrence. Therefore, we think it is a valid alternative to other perineal procedures in patients in whom abdominal surgery is contraindicated.
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| http://dx.doi.org/10.1097/SLE.0000000000000892 | DOI Listing |
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