Objectives: This study was to compare the management of Laparoscopic Suture Rectopexy versus Altemeier’s procedure for the surgical management of Complete Rectal Prolapse patients. Methods: Detail history (age, sex, presenting features, intraoperative events, postoperative course, complications) clinical examinations and relevant investigations were performed to all complete rectal prolapse patients. A total of 40 patients of complete rectal prolapse were enrolled in this study. Laparoscopic Suture Rectopexy was performed in 22 patients. Altemeier’s procedure was performed in 18 patients. The follow up was done for each patient for a period of one to two years and analysed with regard to the following parameters like faecal continence, constipation and recurrent prolapse. Results: Data was analysed by using simple statistical methods with the help of MS-Office software. All data was tabulated and percentage was calculated. Conclusions: Complete rectal prolapse was commonly seen in male and middle age group patients. Constipation and incontinence were common symptoms. Intermittent rectal prolapse was common indication for surgical procedure. Morbidity was more seen in Altemeier’s procedure than laparoscopic suture rectopexy. Pre-existent constipation was common post-operative impact on bowel habits seen during follow up. Hence, Laparoscopic suture rectopexy because of its safety in experienced hands and comparable recurrent prolapse rates with other abdominal procedures and with an added advantage of less associated morbidity due to the procedure and shorter duration of hospital stay can be considered as the procedure of choice for patients who can tolerate general anaesthesia and constipation not dominating the symptomatology.
Abhay Kumar, Nandani, Anil Kumar, Nipendra Kishore. Laparoscopic suture Rectopexy versus Altemeier’s procedure for the treatment of complete rectal prolapse: A hospital based comparative study. International Journal of Medical and Health Research, Volume 6, Issue 5, 2020, Pages 28-31