A COMPARATIVE STUDY ON LAPAROSCOPIC VERSUS OPEN MESH RECTOPEXY FOR FULL THICKNESS RECTAL PROLAPSE

Abstract

To evaluate the efcacy and safety of laparoscopic versus open mesh rectopexy for total rectal prolapse. A retrospective review was conducted for 12 patients undergoing laparoscopic versus open mesh rectopexy for total rectal prolapse between November 2019 and November 2021. Laparoscopic rectopexy (n = 6) and open surgery (n = 6) were performed. Two groups were matched with regards to age, gender, body mass index (BMI) and American Society of Anesthesiologists (ASA) score. Mortality was zero in each group. There were insignicant inter-group differences in operative duration, postoperative complication, rate of long-term recurrence and improvement of incontinence and constipation. Perioperative blood loss and postoperative hospital stay were signicantly shorter in the laparoscopic rectopexy group. Laparoscopic mesh rectopexy is as safe and efcient as open rectopexy. And both are suitable for senile patients. Longterm outcomes are similar for two groups, but the laparoscopic group has better short-term outcomes.