Introduction: Although long-term crude outcomes of laparoscopic ventral rectopexy for external rectal prolapse (ERP) have been documented, repetitive functional and quality of life (QOL) assessments are scarce. This study assessed midterm annual functional results and QOL after laparoscopic ventral rectopexy for ERP.
Methods: This study consisted of 58 patients and was a retrospective analysis of prospectively collected data. The Fecal Incontinence Severity Index, the Constipation Scoring System, and QOL instruments (ie 36-item Short-Form Health Survey and Fecal Incontinence Quality of Life scale) were administered before and after operation.
Results: There was no mortality or major morbidity. After a median follow-up of 49 months (6-92 months), recurrence of ERP was noted in one patient (2%). There were no mesh-related complications. The median Fecal Incontinence Severity Index score was significantly reduced at 3 months (34 [10-61] vs 12 [0-50], P < 0.0001) and remained significantly reduced for 5 years. The median Constipation Scoring System score was significantly reduced at 3 months (14 [9-20] vs 7 [0-16], P < 0.0001) and remained significantly reduced for 4 years. No patients developed new-onset constipation. All of the Fecal Incontinence Quality of Life scales significantly improved overtime for 4 years. All of the 36-item Short-Form Health Survey scales were significantly improved at 3 and 6 months, but none of the scales significantly improved after 2 years.
Conclusion: Laparoscopic ventral rectopexy for ERP was associated with low morbidity, low recurrence, and a midterm improvement in function and fecal incontinence-specific QOL.
Keywords: external rectal prolapse; laparoscopic ventral rectopexy; midterm results.
© 2019 The Authors. Asian Journal of Endoscopic Surgery published by John Wiley & Sons Ltd on behalf of Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force.
Laparoscopic Ventral Rectopexy for External Rectal Prolapse Improves Constipation and Avoids De Novo ConstipationP Boons et al. Colorectal Dis 12 (6), 526-32. PMID 19486104.
Ventral rectopexy has a recurrent prolapse rate of < 5%, similar to that of posterior rectopexy. Its correction of preoperative constipation and avoidance of de novo c…
Quality of Life After Laparoscopic Ventral RectopexyA Tsunoda et al. Colorectal Dis 18 (8), O301-10. PMID 26709009.LVR improves both generic and symptom-specific QOL with good functional results.
Laparoscopic Ventral Rectopexy Versus Laparoscopic Wells Rectopexy for Complete Rectal Prolapse: Long-Term ResultsKM Madbouly et al. J Laparoendosc Adv Surg Tech A 28 (1), 1-6. PMID 28586260.In this study, both LVR and LWR successfully and safely corrected the prolapse and prevented recurrence in patients after long-term follow-up. Operative time and hospital …
Focus on Abdominal Rectopexy for Full-Thickness Rectal Prolapse: Meta-Analysis of LiteratureF Cadeddu et al. Tech Coloproctol 16 (1), 37-53. PMID 22170252. - ReviewLaparoscopic abdominal rectopexy is a safe and feasible procedure, which may compare equally with the open technique with regard to recurrence, incontinence and constipat …
Anterior Rectopexy for Full-Thickness Rectal Prolapse: Technical and Functional ResultsJL Faucheron et al. World J Gastroenterol 21 (16), 5049-55. PMID 25945021. - ReviewBased on the low long-term recurrence rate and favorable outcome data in terms of low de novo constipation rate, improvement of anal incontinence, and low complications r …
Cited by 1 PubMed Central articles
Midterm Functional Outcome After Laparoscopic Ventral Rectopexy for External Rectal ProlapseA Tsunoda et al. Asian J Endosc Surg 13 (1), 25-32. PMID 30920167.Laparoscopic ventral rectopexy for ERP was associated with low morbidity, low recurrence, and a midterm improvement in function and fecal incontinence-specific QOL.
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