| Abstract: | ![]()
Abstract: A 48-year old man was admitted to our hospital for rectal prolapse and anal bleeding. A diagnosis of type III complete rectal prolapse with two carcinomatous lesions had been made, based on examinations at his hospitalization. However, he refused abdominoperineal resection with colostomy, despite the probability of death due to carcinoma. Therefore, per anal local excision of the lesions was the method of first choice, as the patient hoped to maintain fecal continence for as long as possible. At the second operation, the rectum was fully mobilized with great care, so as to avoid injuring the testicular vessels, ureter and seminal vesicle, under laparoscopic control. The mobilized rectum was wrapped in a sheet of Teflon mesh which was fixed to the presacral fascia, and the rectum was fixed to the mesh by suturing. The front side of the rectum was not sutured to the Teflon mesh, with the aim of preventing subsequent stricture. There were no perioperative complications and the postoperative course was uneventful. Laparoscopic rectopexy for rectal prolapse is thought to be effective and worthy of trial in special situations such as that of the patient described herein. |
