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Prolapse Surgery

Overview

The most commonly used procedure to correct a rectal prolapse is a laparoscopic ventral rectoplexy. This involves minimally invasive (laparoscopic) surgery via entry point/s in the anus or the abdomen. The procedure is carried out under general anaesthesia.

How should I prepare for surgery?

The day before admission we will contact you to confirm admission time and to give you instructions regarding any fasting requirements for the procedure. You should bring any x-rays in with you (and ensure you take them with you when you are discharged). Also bring any current medication in with you to the hospital.

For day procedures you should not drive yourself home when you are discharged – please ensure you have made other transport arrangements.

If you smoke, you should reduce smoking before your procedure. Our strong recommendation is that you give up entirely at least 6 weeks before the procedure, or at least one week beforehand. Smoking greatly increases the possibility of chest infection and hampers natural wound healing.

In the case of major surgery, please inform Dr White's team if you take:

  • Warfarin.
  • Aspirin.
  • Plavix.
  • Anti-inflammatory medication.

We will need to discuss these medications with you prior to your surgery.

Dr White will provide you with a full set of pre-operative instructions for your specific surgery well ahead of the day of surgery.

What is involved in the procedure?

Small incisions are made to allow laparoscopic instrument access and a small section of synthetic medical grade mesh is placed between the rear of the vagina and the front section of the rectum. The mesh stops any possibility of a prolapse via the anus.

This procedure has a success rate of more than 95%.

Recovery Guidelines

Hospital Stay

A hospital stay of 2-3 days is normal after this procedure.

Surgical Risks

All types of surgery are subject to the following risks, which are rare, but can occur:

  • Allergic reaction to medication / anaesthetic.
  • Bleeding.
  • Difficulty breathing.
  • Infection.

In addition, the following risks are associated with prolapse surgery:

  • Obstruction of the bowel.
  • Damage to nerves and / or organs close to surgery site.
  • Stricture (narrowing) of the anal opening.
  • Fistula development.
  • Recurrence of prolapse.
  • New (or more severe) constipation.

When you should contact Dr White

Most surgical procedures are uneventful, with minimal complications. However, you need to be aware of the following symptoms as they may indicate a developing serious complication...

  • Fever.
  • Excess bleeding.
  • Difficulty urinating.
  • Severe or increasing pain.

If you experience any of these symptoms or have any concerns after your surgery, please contact the rooms on 07 5598 0955 for advice.

A post operative appointment will be made for you before you are discharged from hospital. If you are discharged on a weekend, after normal surgery hours or it is not clear what follow up appointments are required, then contact the rooms the next working day to make an appointment.