Laparoscopic rectopexy using mesh fixation with a spiked chromium staple

Diseases of the Colon and Rectum
M Solomon, A A Eyers

Abstract

Abdominal rectopexy for patients with rectal prolapse is well suited for performance laparoscopically because no resection or anastomosis is necessary, with potential benefits being a decrease in postoperative pain, better cosmesis, and an earlier return to normal activity. Objectives of this study were to determine the feasibility of laparoscopic abdominal rectopexy using a solitary spiked chromium staple to fix the mesh to the sacrum and to compare initial results with consecutive previous abdominal rectopexies (historical control study). Duration of operation (anesthetic plus surgery), the day a solid diet was first tolerated, day of discharge, and patient morphine requirements in the first 48 hours were documented prospectively for the laparoscopic group and retrospectively from medical records for an open abdominal rectopexy group. Laparoscopic rectopexy group had lower morphine requirements when using patient-controlled analgesia (mean, 38.2 vs. 100.6 mg; P < 0.02), an earlier tolerance of solid diet (mean, 2.7 vs. 5.8 days; P < 0.001), and an earlier discharge from the hospital (mean, 6.3 vs. 11.0 days; P < 0.01). Operating time was longer for the laparoscopic group (mean, 198 vs. 130 minutes; P < 0.001). Laparoscopic re...Continue Reading

References

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Citations

Apr 24, 1999·Diseases of the Colon and Rectum·R D Madoff, A Mellgren
Mar 24, 1998·Diseases of the Colon and Rectum·A R StevensonJ W Lumley
Sep 25, 1999·Diseases of the Colon and Rectum·H P BruchO Schwandner
Mar 9, 2004·Langenbeck's Archives of Surgery·T H K SchiedeckH-P Bruch
Mar 24, 2005·Diseases of the Colon and Rectum·Luai H S AshariRussell W Stitz
Jun 28, 2005·Diseases of the Colon and Rectum·Sanjay PurkayasthaAra Darzi
Dec 3, 2005·Diseases of the Colon and Rectum·Anita K JatanNimalan Pathma-Nathan
Jul 15, 2006·Diseases of the Colon and Rectum·Ned S AbrahamMichael J Solomon
Sep 2, 2008·Diseases of the Colon and Rectum·Christopher M ByrneChristopher J Young
Feb 20, 2002·The British Journal of Surgery·M J SolomonR A Roberts
Apr 27, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ravi L HuilgolMichael J Solomon
Jun 15, 2006·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Henrik Loft JakobsenJacob Rosenberg
Oct 9, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Sezai DemirbasMehmet Yldz
Jun 19, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M S SajidM K Baig
Oct 7, 1998·The Australian & New Zealand Journal of Obstetrics & Gynaecology·A KriplaniD Takkar
Feb 4, 2010·World Journal of Surgery·Woramin RiansuwanJame M Church
Oct 12, 2010·Gastroentérologie Clinique Et Biologique·S R Smith, M Solomon
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May 7, 2015·World Journal of Gastroenterology : WJG·Jean-Luc FaucheronFabian Reche
Sep 28, 2004·The British Journal of Surgery·G SalkeldM Solomon
Jun 2, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Yasuko MaedaCarolynne J Vaizey
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