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2020, Number 2

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Acta Med 2020; 18 (2)

Laparoscopic anterior rectopexy with mesh. A safe alternative for the management of rectal prolapse

Gallo AB, Gallo CB, López NR, Andrade AB, Ibarra RJ, Hidalgo VC, Santos VG

Language: Spanish
References: 17
Page: 197-201
PDF size: 200.00 Kb.


ABSTRACT

Complete rectal prolapse is when all the layers of the rectum come out through the anus; the external prolapse can be partial and only include the mucosal layer of the distal rectum with or without internal haemorroids. This disease is predominant in female sex (10:1) and in the sixth and seventh decades of life. This patients frecuently have fecal incontinence. The surgical techniques for its treatment have evolved with the pass of the years. From perineal approches, to abdominal apporches to laparoscopic techniques. We present the case of a female patient 45 years old bodybuilder. Among her medical history she had a histerectomy due to miomatosis and chronic constipation. She has been seen in consultation for total rectal prolapse reductible. We performed an anterior laparoscopic ventral rectopexy with absorbable mesh without complications. She did well in the post operatory; in the evaluation at two weeks PO she was fine without prolapse, asymptomatic and with improvment of the constipation. At nine months after surgery the patient continues asymptomatic and without prolapse recurrence.


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