✦ BOWEL REMOVAL FIXATION

Resection Rectopexy

Q: Does everyone with rectal prolapse need a sigmoid resection?

No - the vast majority of rectal prolapse patients are treated with rectopexy alone. Sigmoid resection is added only when pre-operative testing confirms significant constipation due to a redundant sigmoid or slow transit.

Q: Is resection rectopexy higher risk than simple rectopexy?

Adding a bowel anastomosis increases procedure duration and carries a small anastomotic leak risk (2-3%). Dr. Samhitha carefully selects patients to ensure the benefit of adding resection outweighs this additional risk.

Q: Will I need a stoma after resection rectopexy?

A defunctioning stoma is not routinely required for elective resection rectopexy. It may be considered if bowel preparation is inadequate or anastomotic risk factors are present.

Q: Is resection rectopexy available at Lux Hospitals?

Yes - Dr. Samhitha Reddy performs laparoscopic resection rectopexy at Lux Hospitals, Hyderabad for appropriately selected patients.

Sigmoid colon resection combined with rectal fixation - used when rectal prolapse coexists with significant constipation or a redundant sigmoid, addressing both problems in a single laparoscopic procedure.

Combined RESECTION + FIXATION

Constipation ADDRESSED

Laparoscopic PREFERRED

2-3 Days HOSPITAL STAY

What is Resection Rectopexy?

Resection Rectopexy combines laparoscopic rectal fixation (rectopexy) with sigmoid colon resection in the same operation. It is indicated for patients with full-thickness rectal prolapse who also have a significantly redundant sigmoid or pre-existing severe constipation - where rectopexy alone would not address the functional bowel problem and might worsen constipation. Dr. Samhitha Reddy performs resection rectopexy at Lux Hospitals, Hyderabad for carefully selected patients where both prolapse and confirmed slow-transit or sigmoid redundancy are established by pre-operative physiological testing. It is part of the comprehensive rectal prolapse hospitals in Hyderabad programme - addressing both structural and functional bowel problems simultaneously.

Resection rectopexy is not the standard approach for all prolapse cases. It is reserved for patients with confirmed slow-transit constipation or significant sigmoid redundancy. Pre-operative colonic transit study is essential.

How the Procedure Works

Pre-operative Physiological Testing

Colonic transit study confirms slow transit or redundant sigmoid. Defecography confirms full-thickness prolapse. Both indications must be established before planning resection rectopexy.

Laparoscopic Access & Rectal Mobilisation

Standard laparoscopic access. The rectum is fully mobilised as for standard rectopexy.

Sigmoid Resection

The redundant sigmoid colon is isolated, mesentery divided, and bowel resected between laparoscopic stapling devices at appropriate levels.

Colorectal Anastomosis

A circular stapled end-to-end anastomosis is fashioned between the descending colon and upper rectum.

Rectopexy

The mobilised rectum is positioned correctly and fixed to the sacrum with non-absorbable sutures or mesh. Both components are completed laparoscopically.

Outcomes

CombinedRESECTION + FIXATION

ConstipationADDRESSED

LaparoscopicPREFERRED

2-3 DaysHOSPITAL STAY

Who Needs This Treatment?

→Addresses rectal prolapse and associated constipation in a single operation
→Removes redundant sigmoid - reduces constipation and straining post-operatively
→Laparoscopic approach - small incisions, 2-3 day hospital stay
→Avoids the need for two separate operations
→Well-established evidence base - the Frykman-Goldberg procedure
→Available at Lux Hospitals, Hyderabad for selected cases

Resection rectopexy was born from clinical observation - fixing the rectum in a constipated patient with a redundant sigmoid is only half the solution. Addressing both problems simultaneously in one laparoscopic procedure gives patients the best possible functional outcome.

— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon

Common Questions

Frequently Asked

Does everyone with rectal prolapse need a sigmoid resection?+

Is resection rectopexy higher risk than simple rectopexy?+

Will I need a stoma after resection rectopexy?+

Is resection rectopexy available at Lux Hospitals?+

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