Laparoscopic approach to recurrence following multiple surgeries for external rectal prolapse: a case report

Surgical Case Reports

Tsuyoshi Tachibana¹  Taro Aoyama¹  Kosuke Toda¹  Akira Mitsuyoshi¹  Asami Okabe¹  Kenjiro Hirai¹  Taisuke Uemura¹  Haruku Fujita¹  Hidenori Ohe¹ 

[1] Department of Surgery, Otsu City Hospital, 2-9-9 Motomiya, 520-0804, Otsu, Shiga, Japan;

关键词: Rectal prolapse;    Pelvic organ prolapse;    Recurrence;    Laparoscopic ventral mesh rectopexy;    Laparoscopic sacrocolpopexy;   

DOI  :  10.1186/s40792-021-01154-2

来源: Springer

【 摘 要 】

IntroductionThe optimal procedure for recurrent external rectal prolapse remains unclear, particularly in laparoscopic approach. In addition, pelvic organ prolapse (POP) is sometimes concomitant with rectal prolapse. We present a case who underwent laparoscopic procedure for the recurrence of full-thickness external rectal prolapse coexisting POP.Case presentationAn 81-year-old parous female had a 10-cm full-thickness external rectal prolapse following the two operations: the first was perineal recto-sigmoidectomy and the second was laparoscopic posterior mesh rectopexy. Imaging study revealed that the recurrent rectal prolapse was concomitant with both cystocele and exposed vagina, what we call POP. We planned and successfully performed laparoscopic ventral mesh rectopexy (LVMR) with laparoscopic sacrocolpopexy (LSC) using self-cut meshes without any perioperative complication.ConclusionThis is the first report of LVMR and LSC for recurrent rectal prolapse with POP following the perineal recto-sigmoidectomy and laparoscopic posterior mesh rectopexy. Even for recurrent rectal prolapse with POP, our experience suggests that LVMR and LSC could be utilized.

【 授权许可】

CC BY