Laparoscopic Resection Rectopexy with Transanal Specimen Extraction for Complete Rectal Prolapse: Retrospective Cohort Study of Functional Outcomes.
Obstructed defecation syndrome scores dropped from 12.8 to 5.2 by 12 months after surgery.
Laparoscopic Resection Rectopexy with Transanal Specimen Extraction for Complete Rectal Prolapse: Retrospective Cohort Study of Functional Outcomes.
Complete rectal prolapse (rectal prolapse) is a debilitating pelvic floor disorder often accompanied by obstructed defecation syndrome (obstructed defecation syndrome), fecal incontinence, and LARS-like bowel dysfunction.
To evaluate short- and long-term functional outcomes-obstructed defecation syndrome, Wexner incontinence score (wexner incontinence score), and LARS-in patients undergoing LRR with transanal specimen extraction.
This single-center cohort included 53 consecutive patients who underwent LRR with transanal specimen extraction between January 2013 and December 2019.
LARS scores declined from 18.0 ± 12.7 at 3 months to 8.8 ± 6.8 at 6 months and 3.5 ± 4.2 at 12 months ( p < 0.001).
Sex and body mass index did not affect functional trajectories ( p > 0.05), whereas patients aged ≥50 years had higher postoperative LARS and wexner incontinence score scores ( p < 0.05).
Complications occurred in 5 patients (9.43%), including one anastomotic leak with a mortality rate of 1.85%.
Full-thickness recurrence occurred in 2 patients (3.77%), and 3 developed mucosal prolapse managed with Delorme's procedure.
LRR with transanal specimen extraction is a safe and feasible minimally invasive technique that improves constipation, continence, and LARS-related bowel dysfunction.
Early postoperative impairment may overestimate long-term functional severity, highlighting the need for follow-up beyond 12 months.