Transanal rectopexy - twelve case studies

• Autor(a) principal: Fernandes,Rubens Henrique Oleques
• Data de Publicação: 2012
• Outros Autores: Rossi,Tito Armando
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632012000200007
• topic: rectum; rectal prolapse; colorectal surgery

OBJECTIVES: This study analyzed the results of transanal rectopexy and showed the benefits of this surgical technique. METHOD: Twelve patients were submitted to rectopexy between 1997 and 2011. The surgical technique used was transanal rectopexy, where the mesorectum was fixed to the sacrum with nonabsorbable suture. Three patients had been submitted to previous surgery, two by the Delorme technique and one by the Thiersch technique. RESULTS: Postoperative hospital stay ranged from 1 to 4 days. One patient (8.3%) had intraoperative hematoma, which was treated with local compression and antibiotics. One patient (8.3%) had residual mucosal prolapse, which was resected. Prolapse recurrence was seen in one case (8.3%). Improved incontinence occurred in 75% of patients and one patient reported obstructed evacuation in the first month after surgery. No death occurred. CONCLUSION: Transanal rectopexy is a simple, low cost technique, which has shown good efficacy in rectal prolapse control.