Laparoscopic resection rectopexy for rectal intussusception (preliminary results)

Rectal intussusception (RI) may cause intractible obstructed defaecation. Successful management depends on accurate diagnosis and adequate rectopexy. We report 23 consecutive patients with RI. Synchronised mano-myocinedefaecogaphy enabled visualisation of obstructed defaecation to be due to RI, rather than incidental puborectalis paradoxus. A. laparoscopic resection rectopexy technique resulted in >90 % symptomatic relief in 53 % of patients. There was a 4 % wound infection rate. At a mean follow-up of 9.1 months, there were no radiological or clinical recurrences.