Skip to main content
padlock icon - secure page this page is secure

Long‐term outcome of laparoscopic ventral rectopexy for total rectal prolapse

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.


Postoperative constipation is a common problem with most mesh suspension techniques used to correct rectal prolapse. Autonomic denervation of the rectum subsequent to its complete mobilization has been suggested as a contributory factor. The aim of this study was to assess the long‐term outcome of patients who underwent a novel, autonomic nerve‐sparing, laparoscopic technique for rectal prolapse.


Between 1995 and 1999, 42 patients had laparoscopic ventral rectopexy for total rectal prolapse. The long‐term results after a median follow‐up of 61 (range 29–98) months were analysed.


There were no major postoperative complications. Late recurrence occurred in two patients. In 28 of 31 patients with incontinence there was a significant improvement in continence. Symptoms of obstructed defaecation resolved in 16 of 19 patients. During follow‐up, new onset of mild obstructed defaecation was noted in only two patients. Symptoms suggestive of slow‐transit colonic obstipation were not induced.


Laparoscopic ventral rectopexy is an effective technique for the correction of rectal prolapse and appears to avoid severe postoperative constipation. The ventral position of the prosthesis may explain the beneficial effect on symptoms of obstructed defaecation. Copyright © 2004 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Research Article

Affiliations: Department of Abdominal Surgery, University Clinics Gasthuisberg, Leuven, Belgium

Publication date: November 1, 2004

More about this publication?
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more