Abstract

OUR EXPERINCE WITH USE OF POSTERIOR MESH RECTOPEXY IN COMPLETE RECTAL PROLAPSE

Author(s): Sudhansu Sekhar Mohanty1, Panchanan Panigrahy2, Bismaya Kumar Rout3

BACKGROUND
Mesh rectopexy is one of the accepted treatment options for rectal prolapse. We used polypropylene posterior mesh rectopexy for prolapse rectum. The aim of the study was to see demographic, clinical and functional outcome of posterior mesh rectopexy in our setup.
MATERIALS AND METHODS
The case report of 33 patients under gone posterior abdominal mesh rectopexy in MKCG medical college and hospital from 1st July 2012 to 1st July 2017 were reviewed retrospectively and the patients were followed up in surgical OPD/telephonic questionnaire. All patients had undergone standard posterior abdominal mesh rectopexy without the division of lateral ligaments with utmost care for prevention of bleeding and nerve damage.
RESULTS
Out of 33 cases of abdominal rectopexy, 12 (36%) were males and 21 (64%) were females. 27 (82%) were within 61-80 years of age group. The most common symptoms were mass per annum (100%) followed by incontinence for liquid stool and flatus 24 (72%). There was no operative mortality. The average hospital stay 7.8 days (5-11 days). The constipation (p=0.019) and incontinence (p=0.0165) were better postoperatively. There was 1 (3%) partial recurrence of rectal prolapse in 91-year-old lady in 2 years follow up.
CONCLUSION
The recurrence rate as well as clinical and functional outcome of open abdominal mesh rectopexy seems to be satisfactory, however, long-term effect has to be seen.