TEM Assisted Perineal Rectopexy in Treatment of Rectal Prolapse

Mansoura University

Status: Completed

Conditions: Rectal Prolapse

Treatments: Procedure: TEM perineal rectopexy

Study type: Interventional

Funder types: Other

Identifiers

NCT02609555

MansouraU26

Details and patient eligibility

About

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.

Full 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

Enrollment: 7 patients

Sex: All

Ages: 14 to 80 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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7 participants in 1 patient group

TEM perineal Rectopexy

Experimental group

Description:

TEM perineal rectopexy: triple repair technique , Perineal rectopexy with a polyprolene mesh assisted by TEM technique, postanal repair to close the postanak space then finally anal cerclage to hold the rectum in place for one month.

Treatment:

Procedure: TEM perineal rectopexy