This journal only 2008, Number 3 Rev Mex Cir Endoscop 2008; 9 (3) Surgical management of rectal prolapse: complications of minimal invasive surgery (MIS) vs open surgery Blas FM, Rangel PJH, Almeraya OJ, Pichardo FMA, García TBN, Solís CF, Cruz CU, Pasillas FMA, Reyes EC Full text How to cite this article Language: Spanish References: 15 Page: 97-104 PDF size: 207.63 Kb. Key words: Rectal prolapse, minimal invasive surgery, open surgery, recurrence, bleeding, hospitalary stay. ABSTRACT Objectives: Compare the transoperative and postoperative complications of the MIS vs open surgery repair in the surgical management of the rectal prolapse. Methods: This is a descriptive, observational, comparative study. The place was the Hospital de Especialidades del Centro Médico «La Raza», IMSS. Patients were operated from April 2003 to April 2008. We review the clinical files with diagnostic of full-thickness rectal prolapse. We compared the two groups about operative bleeding, hospitalary stay, fecal incontinence, surgical site infection, intraabdominal abscess, disruption of anastomosis, embolic complications, respiratory alteration. Data analysis: descriptive statistical. The t-test and chi-square. Results: We analyze 27 patients, 9 underwent to MIS repair an 18 underwent to open surgery repair. We found relation between age of presentation of rectal prolapse and the patient sex. There was significant difference about the operative bleeding and the type of repair. The bleeding is minor in the MIS group (p = 0.045). There was significant difference in hospitalary stay, it was minor in MIS group (p ‹ 0.05). We didn’t find relationship between the type of surgery and abscess presentation, surgical site infection, anastomosis disruption, embolic complication, respiratory alteration. Conclusions: There is significant difference about operative bleeding an hospital stay in patients with rectal prolapse management with MIS repair comparated with open surgery repair. They are minor in minimal invasive surgery. REFERENCES Corman ML. Handbook of colon and rectal surgery. Ed. Lippincot Williams and Wilkins. 2003. Mandiba TE, Baig MK, Wexner ST. Surgical. Management of Rectal Prolapse. Archives of Surgery 2005; 140: 63-73. Vaizey CJ, Carapeti EC, Cahill JA, Kamm JA. Prospective comparison of faecal incontinence grading systems. Gut 1999; 44: 77-83. Brown AJ, Anderson JH, McKee RF. Strategy for selection of Type of operation for rectal prolapse based on clinical criteria. Diseases of Colon and Rectum 2004; 47: 103-107. Breukink SE, Pierie JP, Wiggers TW. Laparoscopic versus open total mesorectal excision for rectal cancer. The Cochrane Database of Systematic. Reviews 2007; 3: 1. Kariv YE, Delaney CP, Casillas SE. Long term outcome after laparoscopic and open surgery for rectal prolapse. A case control study. Surgical Endoscopy 2006; 20: 35-42. Brazzelli EM, Bachoo PA, Grant AS. Surgery for complete rectal prolapse in adults. Cochrane Database of Systematic Reviews. The Cochrane Collaboration 2007; 4: 1. Allen DE, Saclarides TJ. Laparoscopic rectopexy without resection: A worthwhile treatment of rectal prolapse in patients without prior constipation. The American Surgeon 2007; 73: 858-861. Carpelan-Holmstro MO, Kruuna OK, Scheinin TS. Laparoscopic rectal prolapse surgery combined with short hospital stay is safe in elderly and debilitated patients. Surg Endosc 2006; 20: 1353-1359. Herrera RJ, Andrade IA, González VE, Morales GM, Martínez MG. Experiencia en el manejo quirúrgico del prolapso rectal mediante sutura helicoidal y anoplastia: estancia hospitalaria breve. Cir Ciruj 2007; 75: 453-457. Rodríguez-Wong U, García ÁJ, Cruz MI, Chong ÁC, Reyes SG. Rectopexia con malla por vía laparoscópica en prolapso rectal. Rev Mex Cir Endos 2005; 6: 131-134. Purkayastha SA, Tekkis PA, Athanasiou TH. A comparison of open vs. laparoscopic abdominal rectopexy for full-thickness rectal prolapse: a meta-analysis. Dis Colon Rectum 2005; 48: 1930–1940. Byrne CM, Smith SR, Solomon MJ. Long-term functional outcomes after laparoscopic and open rectopexy for the treatment of rectal prolapse. Diseases Colon and Rectum 2008; 51: 1597-1604. Salked G, Bagia M, Solomon M. Economic Impact of Laparoscopic versus open abdominal rectopexy. Br J Surg 2004; 91: 1188-1191. Ashari LH, Lumley JW, Stevenson AR. Laparoscopically-assisted resection rectopexy for rectal prolapse: a ten –year experience. Dis Colon and Rectum 2005; 48: 982-987.