Dinesh Prasad1 , Vineet Prajapati2 , Shiv Patel3
BACKGROUND The objective of this observational study is to compare outcome of LTSR and LSR in terms of symptomatic relief and its complications. METHODS Forty patients were subjected to LTSR and LSR between January 2015 and January 2020. The surgical technique used was fixation of posterior rectal wall and mesorectum to the sacral promontory and presacral fascia with PDS suture with infiltration of sclerosant in between the sutures in LTSR, while in LSR posterolateral wall of rectum is sutured with sacral promontory with Prolene suture. RESULTS Postoperative hospital stay was 2-5 days in LSR, while 1-2 days in LTSR. One patient had recurrence in LTSR at 2 years, while no recurrence in LSR on 2-5 years follow up. Symptomatic relief was 25-100% in LSR, while it was >75% in LTSR. CONCLUSIONS LTSR is a simple, low cost technique with less morbidity, less hospital stay, greater improvement in post-operative symptoms in the patients of rectal prolapse, thus changing the trend from laparoscopic to minimal invasive natural orifice procedure.
