Clinical Trial: TEM Assisted Perineal Rectopexy in Treatment of Rectal Prolapse

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: Trans-anal Endoscopic Microsurgery (TEM) Assisted Perineal Rectopexy With Postanal Repair and Anal Cerclage In Treatment of Rectal Prolapse (Novel Technique)

Brief Summary: Curvilinear incision in the postanal space, through the intersphincteric plane, insertion of Proctoscope of TEM technique and dissection till sacral promontory, insertion of mesh between the rectum and sacrum, post anal repair then anal cerclage width absorbable suture.

Detailed Summary: Perineal Rectopexy is performed by an incision in the intersphincteric space followed by dissection till the sacral promontory then Proctoscope is inserted to complete the dissection .Mesh is inserted and fixed to the sacrum with laparoscopic tacker ( or can be left unfixed) then postanal repair is conducted in two layers ( levatorplasty then sphincteroplasty) and finally Ana cerclage is done with polyglactin 0 sutures
Sponsor: Mansoura University

Current Primary Outcome: Recurrence of prolapse [ Time Frame: 12 months ]

Number of patients presenting with recurrent rectal prolapse within 12 months after surgery


Original Primary Outcome: Same as current

Current Secondary Outcome: Improvement of continence state [ Time Frame: 12 months ]

Amount of increase in continence score after surgery


Original Secondary Outcome: Same as current

Information By: Mansoura University

Dates:
Date Received: November 16, 2015
Date Started: October 2014
Date Completion:
Last Updated: March 21, 2017
Last Verified: March 2017