STUDY OF CLINICAL AND FUNCTIONAL RESULTS OF ABDOMINAL MESH RECTOPEXY FOR COMPLETE RECTAL PROLAPSE

DR. JIN REEVE.S.W.DANIEL; DR. G. KAMALIN VIJI

Volume : VII, Issue : VII, July - 2017

STUDY OF CLINICAL AND FUNCTIONAL RESULTS OF ABDOMINAL MESH RECTOPEXY FOR COMPLETE RECTAL PROLAPSE

Dr. Jin Reeve. S. W. Daniel, Dr. G. Kamalin Viji

Abstract :

Background and objectives

There are many often confusing, surgical procedures available for treating complete rectal prolapse ranging from complex abdominal interventions to simple rectal procedures with varying results. The ideal procedure suitable in all cases is still an enigma. Many surgeons today believe that abdominal rectopexy has become the operation of choice not only in the young but even in the elderly patients, resulting in a low recurrence rate and restoration of continence in significant number of patients. The present study attempted to evaluate clinical and functional results of abdominal rectopexy using prolene mesh for complete rectal prolapse in our centre.

Methods

Thirty patients with complete rectal prolapse underwent abdominal rectopexy using prolene mesh after investigations at Thanjavur medical college during the period from March 2013 to August 2014.. They were followed up for a period of 6 months. Each case was analysed for post operative complications like haemorrhage, operative mortality, wound infection , infection around prolene mesh, bladder and erectile dysfunction. During follow up recurrence of rectal prolapse, changes in bowel frequency, and restoration or detoriation in continence were particularly noted.

Results

There were no mortality or recurrence in any patient. There was significant improvement in continence in two patients with incontinence. There was decrease in bowel frequency in 4 patients post operatively but this does not result in clinical constipation in any of the patients. There were no major post operative complications.