Abstract:
Objective To compare the efficacy of laparoscopic and open retrorectal suspension fixation in the treatment of male rectal prolapse.
Methods A retrospective analysis was performed on 46 male patients who underwent transabdominal retrorectal mesh suspension fixation from February 2014 to February 2021，and they were divided into laparoscopy group（n=24 cases）and laparotomy group（n=22 cases）according to different operation methods. SPSS 26.0 software was used for processing. Perioperative indicators，postoperative functional scores and other measurement data were expressed as（
±s），and independent sample
t test was used. Postoperative complications were counted using
χ2 test.
P<0.05 meant the difference was statistically significant.
Results The operation time of laparoscope group was longer than that of laparotomy group（P<0.05）. The intraoperative blood loss，first time of getting out of bed，postoperative ventilation time and postoperative hospital stay in laparoscopic group were all lower than those in laparotomy group（P<0.05）. The International Prostatic Symptom Scale（IPSS）score of laparoscopy group was lower than that of laparotomy group，and the International Questionnaire of Erectile Function（IIEF-5）score was higher than that of laparotomy group（P<0.05）.
Conclusion Laparoscopic retrorectal mesh suspension fixation for the treatment of male complete rectal prolapse has the advantages of less bleeding，rapid recovery of gastrointestinal function，effective protection of urinary function and sexual function，and is worthy of widespread clinical application.
Key words:
Rectal Prolapse,
Laparoscopes,
Laparotomy,
Autonomic Pathways,
Comparative Effectiveness Research
Shuai Wang, Lixia Zhao, Tao Wang, Xiongfei Yang. Comparison of clinical effects of laparoscopy and open retrorectal mesh suspension fixation in the treatment of male rectal prolapse[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(02): 197-200.