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Easy modified wells method for rectal prolapse with using bilayer mesh

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Abstract

Background

In recent years, many laparoscopic procedures have been reported for the treatment of rectal prolapse, and the Wells method is safe and has relatively good results for rectal prolapse, which is common in the elderly. In this report, we have developed a simpler method to perform the Wells method.

Methods

In our procedures, easy modified Wells method is performed laparoscopically, but the use of a bilayer mesh makes it easier to perform without the need to suture the retroperitoneum. We performed the method for six cases. All patients are female and average age is 86 ± 4.6. Max length of rectal prolapse is 3 cm–7 cm.

Results

The median operative time was 191 ± 26 min. No recurrent rectal prolapse was encountered during follow-up period. The average defecation frequency per week before surgery was 5.3 ± 1.9 and after surgery was 3.7 ± 2.1.

Conclusion

Easy modified Wells method can be performed with safety and without difficulty. This method has shown acceptable results in recurrence rates and defecation frequency after surgery.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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There is no funding and no conflict of interest in this manuscript.

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Authors and Affiliations

  1. Department of Surgery and Internal Medicine, ILIKAI Medical INC., Kakizoe Hospital, Kagamigawa 278, Hirado, Nagasaki, 859-5152, Japan

    Saburo Kakizoe, Yumiko Kakizoe, Teruomi Iwai & Keiji Kakizoe

Authors
  1. Saburo Kakizoe
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  2. Yumiko Kakizoe
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  3. Teruomi Iwai
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  4. Keiji Kakizoe
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Corresponding author

Correspondence to Saburo Kakizoe.

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Conflict of interest

The authors have no conflicts to report. Saburo Kakizoe MD, PhD, Yumiko Kakizoe MD, Teruomi Iwai MD1, Keiji Kakizoe MD.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the ethics committee of our institution (Ilikai Med INC. 2017 April).

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Informed consent was obtained from the patients included in this study.

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Kakizoe, S., Kakizoe, Y., Iwai, T. et al. Easy modified wells method for rectal prolapse with using bilayer mesh. Updates Surg (2023). https://doi.org/10.1007/s13304-023-01706-1

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