| dc.description.abstract | Objectives: The aim of this study was to assess the indication for surgery and postoperative function, complication rate and rectal physiology for patients operated with laparoscopic ventral rectopexy with biological mesh at Ahus 2010 - 2013. Patients/Methods: 35 women were operated. To assess their symptoms they answered Wexner + Ahus fecal incontinence score (WS) and Altomare obstructed defecation score (AODS) preoperative and up to three times postoperative. They were interviewed by telephone and invited to participate in an out-patient clinic investigation. It was performed anorectal volumetry, proctoscopy and digital rectal exploration to assess anal sphincter tonus. Results: Median age was 60 years. 12 patients had internal intussusception, 16 had primary rectal prolapse while 7 had recurrent rectal prolapse. Morbidity rate was 17,1 %, mortality rate was 0 % and recurrence rate 13,0 %. Of all patients operated 23 patients went through depth analysis in the out-patient clinic median time 31 months postoperative. Mean AODS was 9,0 points, mean WS 14,3 points, mean volume first sensation 72,9 ml, mean defecation desire at 128,3 ml and max tolerable volume 195,1 ml. Increased WS was significant correlated with increased rectal volumes. Five patients had decreased anal squeeze pressure and 16 had normal. Mean WS was 10.5 points for patients with normal squeeze pressure. It was 23,9 points for the patients with decreased pressure, p = 0,001. Anorectal volumes were significantly higher in patients with decreased anal squeeze pressure. Conclusion: This study has few preoperative data. Laparoscopic ventral rectopexy is a safe procedure where the rectal function is best in the beginning after surgery. | eng |