| ORIGINAL ARTICLE
|Year : 2018 | Volume
| Issue : 4 | Page : 304-310
Laparoscopic ventral rectopexy: A viable option in procidentia with redundant sigmoid – An Indian perspective
Abhijit Chandra1, Prabhu Singh1, Saket Kumar1, Nikhil Chopra1, Vishal Gupta1, Pradeep Joshi1, Vivek Gupta2
1 Department of Surgical Gastroenterology, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Human Organ Transplant, King George's Medical University, Lucknow, Uttar Pradesh, India
Introduction: Laparoscopic ventral mesh rectopexy (LVMR) has gained widespread acceptance for the management of complete rectal prolapse (CRP). However, there have been concerns considering its use in patients with a redundant sigmoid colon. This study was conducted to evaluate the anatomical and functional results following LVMR, particularly in cases of CRP with a redundant sigmoid colon.
Materials and Methods: Retrospective analysis of 25 patients who underwent LVMR from January 2011 to September 2016 was performed. Patients were divided into two groups according to the duration of follow-up. Group A (long-term) with follow-up >3 years and Group B (mid-term) <3 years.
Results: The study included 25 patients (M:F = 1.5:1) with a median age of 38 years. Eighty-eight percent of the patients had a redundant sigmoid colon. Significant improvement in post-operative Wexner score as compared to pre-operative values was seen in patients with pre-existing constipation (P < 0.0001). In patients presenting with faecal incontinence (FI), significant improvement in post-operative St. Mark's incontinence score was observed. Functional outcomes remain consistent in long-term follow-up (>3 years).
Conclusions: LVMR seems to be a feasible surgical procedure with minimum morbidity and good long-term functional outcomes. It provides satisfactory results in patients with redundant sigmoid colon and improves pre-existing constipation and FI.
Prof. Abhijit Chandra
Department of Surgical Gastroenterology, King George's Medical University, Ground Floor, Shatabdi Hospital-Phase I, Lucknow - 226 003, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
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