LTSR (Laparoscopic Trans Anal Suture Rectopexy)
BACKGROUND Rectal prolapse is the protrusion of full thickness rectal wall through the anal canal. Historically it affects women more often than men, at a ratio of 6:1. 1 Patients with rectal prolapse suffer from anal incontinence, constipation, mucous or blood discharge from the protruding tissue and pain. This study analysed the results of LTSR (Laparoscopic Trans Anal Suture Rectopexy), its complications and benefits. METHODS Twenty patients were subjected to LTSR between July 2017 and June 2019. The surgical technique used was LTSR, where the posterior rectal wall and mesorectum were fixed to the sacral promontory and presacral fascia with PDS suture. RESULTS Postoperative hospital stay was 2 days. One patient had intraoperative hematoma, which was treated with local compression and antibiotics. One patient had recurrence. One patient developed difficulty in micturition. No death occurred. CONCLUSIONS LTSR is a simple, low cost technique, which has shown good efficacy in rectal prolapse control.
