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

Abstract

Background and Objectives: There are many often confusing, surgical procedures available for treating complete rectal prolapse ranging from complex abdominal interventions to simple perineal 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. Results: There was no mortality or recurrence in any patient. There was significant (100%) improvement in continence in a lone patient with incontinence. There was decrease in bowel frequency in 2 patients (13%), postoperatively but this did not result in clinical constipation in any of the patient. There were no major postoperative complications. Interpretation and Conclusion: Abdominal rectopexy using prolene mesh is a simple operation with satisfactory low recurrence rate, good functional out come with low morbidity and mortality. This procedure can be considered in all patients who areconsidered fit to undergo an abdominal procedure.