Published in:
01-02-2009 | Letter
Laparoscopic ventral rectopexy for obstructed defecation syndrome
Authors:
Niels Wijffels, Chris Cunningham, Ian Lindsey
Published in:
Surgical Endoscopy
|
Issue 2/2009
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Excerpt
Surgery for obstructed defecation (OD) caused by internal rectal prolapse has suffered a bad reputation. A classical posterior rectopexy, shown to denervate the autonomic supply of the rectum [
1,
2], worsens constipation for 50% of patients and has been abandoned [
3]. The novel nerve-sparing laparoscopic anterior or ventral rectopexy, which improves constipation in cased of external prolapse [
4], may alter the way internal rectal prolapse is managed. …