Comparison of Laparoscopic Suture Rectopexy and Laparoscopic Ventral Mesh Rectopexy in Complete Rectal Prolapse

A BSTRACT Purpose: The purpose of the study is to compare the results between laparoscopic suture rectopexy (LSR) and laparoscopic ventral mesh rectopexy (LVMR) in complete rectal prolapse in terms of improvement in Wexner constipation score from pre-operative versus postoperative values and in the development of recurrence. Materials and Methods: All enrolled patients were divided into two groups: 20 patients (Group A), who underwent LSR, and 20 patients (Group B), who underwent LVMR. All patients were followed up for the change in Wexner constipation score and the development of recurrence in symptoms or prolapse in the postoperative period. Results: The Wexner constipation score was compared between the two procedures, and it was observed that the LVMR procedure was more effective in reducing the score, and the difference was statistically significant. The rate of recurrence in LSR was higher compared to LVMR, but this difference was not statistically significant. Conclusion: The results suggest that LVMR may offer superior functional outcomes, particularly in terms of constipation improvement, and potentially lower recurrence rates compared to LSR. However, the choice between these procedures should be individualized based on patient factors, surgeon expertise, and consideration of potential long-term complications associated with the use of mesh in LVMR. Larger, randomized controlled trials with longer follow-up periods are needed to definitively establish the long-term outcomes and safety profiles of these procedures.