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  Česky / Czech version Rozhl. Chir., 2006, roč. 85, č. 5, s. 233–235.
 
Laparoscopic Rectopexis 
Gürlich R.1, 3, Sixta B.1, Drastich P.2, Beneš M.2, Čermák J.3, Oliverius M.1, Šváb J.3 

1Klinika transplantační chirurgie IKEM, přednosta doc. MUDr. M. Adamec, CSc. 2Klinika hepatogastroenterologie IKEM, přednosta doc. MUDr. J. Špičák, CSc. 3I. chirurgická klinika 1. LF UK Praha, přednosta doc. MUDr. J. Šváb, CSc.
 


Summary:

       Introduction: Rektopexis is an effective treatment method of rectal prolapses. Our retrospective study assessed the laparoscopic rectopexis results. Methodology: From 01-01-2003 to 31-11-2005, 10 patients were indicated for the procedure of laparoscopic retropexis. A “Vypro“ mesh (Johnson&Johnson) was used to suspend the rectum. We fix it to the sacrum and to the rectum with an anchor (Eanchr, Johnson&Johnson). The follow-up examinations were conducted 2-30 months after the procedure. We assessed mortality rates, morbidity rates, the prolaps relapses incidence rates, obstipation incidence rates. Results: The laparoscopic procedure was completed in 9 patients. In one case, we converted. The mortality and serious postoperative morbidity rate was 0%. The mean duration of hospitalization was 7 days. During the follow-up, no patient relapsed. One female patient complained of mild postoperative obstipation, which, however, did not require surgical revision. Conclusion: Laparoscopic rectopexis is a modern, safe and effective method of the prolaps of the rectum treatment.

        Key words: laparoscopy – rectopexis – prolaps of the rectum
       

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