Several techniques, such as the Ripstein procedure and posterior rectopexy with synthetic mesh, have been described to perform the fixation of the rectum to the presacral fascia with the objective of preventing recurrence of the rectal prolapse. However, the use of synthetic material to fix the rectum has been associated with a multitude of complications including infection, fistulization of the prosthesis into the rectum, presacral bleeding, and obstruction.
The suture rectopexy using nonabsorbable sutures is an effective alternative to the use of synthetic mesh. This technique also avoids most of the problems encountered with the use of mesh. However, difficult evacuation, constipa-tion,bleeding, and recurrence are still significant concerns. Although the recurrence rate is less than 10%, the onset of mucosal prolapse is a common form of recurrence.
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