講演情報
[INTS4-5]Chen’s Modified Ventral Rectopexy Using Non-absorbable Sutures: A Case Report
*JINGKAI WANG1, SHIWEI CHEN1, HAOYAN LI1, YANG LI1 (1. Department of Colorectal Surgery, Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University, China)
Background: Ventral rectopexy is an effective surgical option for rectal prolapse and internal rectal intussusception. However, conventional procedures usually require mesh implantation, which may increase cost and raise concerns regarding mesh -related complications. We therefore performed a modified ventral suspension technique using non -absorbable sutures instead of mesh.
Case presentation: A 50-year-old man presented with a 1-year history of constipation, including decreased defecation frequency, excessive straining, incomplete evacuation, and a sensation of anal fullness. Conservative treatment was ineffective. Defecography showed rectal mucosal prolapse, redundant sigmoid colon, and downward displacement of the transverse colon. A colon transit study suggested slow transit constipation. Based on these findings, laparoscopic rectal suspension was performed on March 30, 2026.
Surgical technique: Under general anesthesia, laparoscopy was performed. The rectum was mobilized in the anterior avascular plane under direct vision. In this modified procedure, non -absorbable sutures were fixed to the anterior -lateral rectal wall and presacral fascia, and the rectum was suspended cranially. The bilateral peritoneum was then closed with absorbable sutures to reconstruct the pelvic floor. This technique preserved the concept of ventral suspension while avoiding mesh implantation.
Results: The operation was completed safely without conversion, major bleeding, or intraoperative injury. The postoperative course was uneventful, and early follow-up showed improvement in defecatory symptoms and relief of the obstructive sensation.
Conclusion: Chen’s modified ventral rectopexy using non-absorbable sutures was feasible and achieved favorable short-term outcomes in this case. This technique may serve as a more economical and manageable alternative to mesh -based ventral rectopexy.
Case presentation: A 50-year-old man presented with a 1-year history of constipation, including decreased defecation frequency, excessive straining, incomplete evacuation, and a sensation of anal fullness. Conservative treatment was ineffective. Defecography showed rectal mucosal prolapse, redundant sigmoid colon, and downward displacement of the transverse colon. A colon transit study suggested slow transit constipation. Based on these findings, laparoscopic rectal suspension was performed on March 30, 2026.
Surgical technique: Under general anesthesia, laparoscopy was performed. The rectum was mobilized in the anterior avascular plane under direct vision. In this modified procedure, non -absorbable sutures were fixed to the anterior -lateral rectal wall and presacral fascia, and the rectum was suspended cranially. The bilateral peritoneum was then closed with absorbable sutures to reconstruct the pelvic floor. This technique preserved the concept of ventral suspension while avoiding mesh implantation.
Results: The operation was completed safely without conversion, major bleeding, or intraoperative injury. The postoperative course was uneventful, and early follow-up showed improvement in defecatory symptoms and relief of the obstructive sensation.
Conclusion: Chen’s modified ventral rectopexy using non-absorbable sutures was feasible and achieved favorable short-term outcomes in this case. This technique may serve as a more economical and manageable alternative to mesh -based ventral rectopexy.