Laparoscopic ventral rectopexy: aprospective evaluation of functional results after surgery: P002


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Abstract

Aim:Laparoscopic ventral rectopexy for rectalprolapse combine advantages of laparoscopic approach with low recurrence rates of abdominalprocedures. This study aimed toprospectively assess functional outcomes of thisprocedure.Method:Between January 2007 and December 2008, all patients undergoing laparoscopic ventral rectopexy for rectalprolapse wereprospectively included. Quality of life was assessed using the gastrointestinal quality of life form (GIQLI), fecal incontinence was assessed using the Cleveland Clinic Incontinence Scoring System (CCSS), and constipation was assessed by the Rome II criteria. Questionnaires were completedpreoperatively, 3 months postoperatively and 6 months postoperatively.Results:Twenty-seven patients completed all the questionnaires. Postoperative morbidy-mortality was nil. Preoperative mean GIQLI score was 77 ± 21 and CCSS was 12 ± 7. Six months postoperatively, quality of life and continence were significantly improved (GIQLI score: 104 ± 20, P < 0.0001; CCSS: 8 ± 7, P < 0.0001). 76% of the patients with constipation symptoms were improved 6 months postoperatively. A constipation of new onset was observed in two patients (7%). Recurrence was observed in two patients (7%)Conclusion:Laparoscopic ventral rectopexy is associated with a nil morbidity-mortality and low rates of recurrence. Functional results are good with significant improvement of quality of life and continence.

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