Laparoscopic Rectopexy For Complete Rectal Prolapse

Abstract

Controversies regarding the management of rectal prolapse continue to stimulate interest in the study of its etiology, pathophysiology, and functional aspects, as well as methods of its surgical treatment. A number of diametrically opposed conditions were accepted as all predisposing to prolapse; constipation and diarrhea, a sedentary life styles and excessively vigorous exercise, and an external sphincter that was too strong and one that was too weak (Madoff& Mellgrin, 1990). Similarly, despite large sophisticated physiologic investigations, the exact causes of prolapse associated incontinence and constipation are uncertain (Agachan et al., 1996). In terms of therapy, our century has seen the establishment of broad outlines of appropriate surgical care for full thickness rectal prolapse still numerous treatment issues await resolution. What is the optimal operation for healthy patient and what is optimal for frail or elderly patient? Which of the p