Procedures and Outcomes of Rectopexy for Rectal Prolapse

• Published in: Nippon Daicho Komonbyo Gakkai Zasshi Vol. 65; no. 10; pp. 840 - 846
• Main Authors: Katsuno, Hidetoshi, Tooyama, Kunihiro, Hatta, Kouhei, Masumori, Kouji, Matsuoka, Hiroshi, Koide, Yoshikazu, Siota, Miho, Mizuno, Masahiro, Hanai, Tsunekazu, Satou, Harunobu, Endou, Tomoyoshi, Maeda, Koutarou, Matsuoka, Shingi
• Format: Journal Article
• Language: Japanese
• Published: The Japan Society of Coloproctology 2012
• ISSN: 0047-1801; 1882-9619
• DOI: 10.3862/jcoloproctology.65.840

Abdominal rectopexy for rectal prolapse is a more invasive and radical procedure than perineal procedures. Though patients with rectal prolapse are usually aged and poor risk patients, abdominal rectopexy is usually recommended if feasible because of the radicality. In recent years, laparoscopic rectopexy has become more popular and covered by insurance since April this year, therefore less invasive and more radical treatment can now be achieved. The key points of the procedures are to mobilize the rectum, to pull it up, and to fix it fully. The detailed procedures might differ slightly according to the institute where performed, to what extent the rectum is dissected, whether the lateral ligament is divided or not, whether the rectum is fixed by mesh or sutured directly, and whether bowel resection is accompanied or not. To determine the proper detailed procedures, a prospective comparative study should be planned and treatment guidelines established.