Laparoscopic rectopexy

What is rectal prolapse?

Patients with rectal prolapse have a protrusion (prolapse) of the rectum through the anus. The rectum folds on itself and protrudes through the anal canal. They may also have symptoms such as a change in bowel habits, rectal bleeding, mucus drainage, anorectal pain or fecal incontinence. Rectal prolapse is thought to occur because of a loss or weakness of the normal support structures for the rectum.

What is the treatment?

The essential treatment is to surgically fix the redundant rectum to the bony pelvis so that it is unable to slide out. This can be done by the open conventional method or by the laparoscopic method.

What is laparoscopic mesh rectopexy?

Laparoscopic rectopexy is one of the surgeries that a top laparoscopic surgeon in Kolkata uses to repair rectal prolapse. In this surgery, the rectum is restored to its normal position in the pelvis, so that it no longer protrudes through the anus. Usually, stitches are used to secure the rectum, often along with mesh.

The term "laparoscopic" refers to surgery performed through several very small incisions in the abdomen. A laparoscope (a long, thin camera) is placed through an incision near the belly button to see the inside of the abdomen. The other small incisions are used to place instruments to perform the surgery.

What are the advantages of the laparoscopic procedure?

Results may vary depending upon the type of procedure and the patient’s overall condition. Common advantages are:

  • Less postoperative pain
  • Shorter hospital staying
  • Earlier return of bowel function
  • Earlier return to normal activity
  • Better cosmetic results
  • Fewer chances of wound infection
  • Other associated pathology can be picked up

Are there any complications associated with the procedure?

Laparoscopic mesh rectopexy is a relatively safe surgery. However, as with any other operation, complications are known to occur.

  • Bleeding
  • Bowel injury
  • Injury to the ureter
  • Abscess
  • Sepsis and septicemia
  • Rarely impotence in male patients
  • Port site infections
  • Hernias
  • In rare cases, even death (in less than 0.1%)

This list, however, is not exhaustive and patients may also develop complications, not from surgery per se but their associated medical conditions like diabetes, high blood pressure, heart disease etc.

Patients may also need additional intervention by a top gastroenterology doctor in Kolkata or even repeat surgery to tackle these complications.

When should you inform your doctor?

Be sure to call your physician or surgeon if you develop any of the following:

  • Persistent fever over 101 degrees F (39 degrees C)
  • Bleeding
  • Increasing abdominal swelling
  • Pain that is not relieved by your medications
  • Persistent nausea or vomiting
  • Chills
  • Inability to pass urine
laparoscopic rectopexy