Ana L. Rivera-Reyna, Departamento de Cirugía, Unidad Médica de Alta Especialidad No. 71, Torreón, Coahuila, México
Jaime A. Rodríguez-García, Servicio de Cirugía de Colon y Recto, Departamento de Cirugía, Unidad Médica de Alta Especialidad No. 71 Torreón, Coahuila, México
Zayra M. Ferniza-Garza, Servicio de Cirugía de Colon y Recto, Departamento de Cirugía, Unidad Médica de Alta Especialidad No. 71 Torreón, Coahuila, México
Juan A. Villanueva-Herrero, Unidad de Fisiología Anorrectal, Servicio de Coloproctología, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México
Miguen A. Martínez-Méndez, Departamento de Cirugía, Unidad Médica de Alta Especialidad No. 71, Torreón, Coahuila, México
Objective: To analyze the recurrence of rectal prolapse in patients who underwent laparoscopic ventral anterior rectopexy between 2021 and 2024. Rectal prolapse is defined as the complete protrusion of the rectal wall through the anal canal. Laparoscopic ventral rectopexy has emerged as the preferred technique due to its low recurrence and complication rates. Method: A descriptive, retrospective, observational and analytical study was carried out in our center with one year of follow- up. Results: Data from 20 patients were collected and analyzed retrospectively from electronic and physical medical records, assessing variables such as age, sex, comorbidities, parity, prolapse grade, pelvic floor disorders, surgical technique, constipation, incontinence, and recurrence. Of the patients, 75% were female, with a mean age of 57 years. Half of the patients had comorbidities, 95% presented a grade V prolapse. Constipation and fecal incontinence were the most frequent symptoms. No significant association was found between parity and prolapse recurrence. Conclusions: Laparoscopic ventral rectopexy is a safe and effective technique for the treatment of rectal prolapse, with a recurrence rate of 15% in our center. Pelvic floor disorders and obstetric history were not associated with an increased risk of recurrence. These findings reinforce ventral rectopexy as the surgical treatment of choice, highlighting the need for individualized follow-up and further evaluation of other possible risk factors for recurrence.
Keywords: Fecal incontinence. Constipation. Pelvic organ prolapse. Laparoscopic surgery. Sigmoidectomy.