Rectal Prolapse
Conditions
Keywords
TEM, Rectopexy, rectal prolapse
Brief summary
Curvilinear incision in the postanal space, through the intersphincteric plane, insertion of Proctoscope of TEM technique and dissection till sacral promontory, insertion of mesh between the rectum and sacrum, post anal repair then anal cerclage width absorbable suture.
Detailed description
Perineal Rectopexy is performed by an incision in the intersphincteric space followed by dissection till the sacral promontory then Proctoscope is inserted to complete the dissection .Mesh is inserted and fixed to the sacrum with laparoscopic tacker ( or can be left unfixed) then postanal repair is conducted in two layers ( levatorplasty then sphincteroplasty) and finally Ana cerclage is done with polyglactin 0 sutures
Interventions
PROCEDURETEM perineal rectopexy
perineal rectopexy using polyprolene mesh assisted by TEM technique and special proctoscope postanal repair in two layers to narrow the postanal space anal cerclage with absorbable sutures
Sponsors
Mansoura University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* patients with complete or partial rectal prolapse
Exclusion criteria
* patients unfit for surgery * patients with previous surgery for rectal prolapse * patients with associated anorectal pathology (e.g fistula ) * patients with constipation as a predominant symptom.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence of prolapse | 12 months | Number of patients presenting with recurrent rectal prolapse within 12 months after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of continence state | 12 months | Amount of increase in continence score after surgery |
Countries
Egypt
Outcome results
None listed