ArticleJournal of the anus, rectum and colon2026
Clinical Outcomes and Recurrence Prevention in Laparoscopic Wells Rectopexy for Rectal Prolapse through Mesh Trimming and Fixation Techniques.
Article in Journal of the anus, rectum and colon, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Objectives: Laparoscopic Wells rectopexy (LWR) is a standard procedure for rectal prolapse; however, recurrence and mesh-related complications remain clinical challenges, particularly in elderly patients with small pelvic anatomy. This study aimed to evaluate the clinical outcomes of a modified LWR technique featuring intraoperative mesh tailoring and a hybrid fixation method. Methods: We retrospectively analyzed 29 patients who underwent modified LWR between October 2014 and June 2025. Technical modifications included intraoperative trimming of the polypropylene mesh to fit each patient's pelvic dimensions and a hybrid fixation technique using both sacral tacks and continuous barbed sutures. Patient demographics, operative outcomes, and recurrence rates were evaluated. Results: The study cohort consisted of 29 patients (median age, 78 years; median body mass index, 20.3 kg/m Conclusions: Our modified LWR technique, featuring individualized mesh tailoring and robust hybrid fixation, is safe and effective for high-risk, elderly Asian patients with small pelvic frames.
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