✦ COMBINED RESECTION-RECTOPEXY

Resection Rectopexy

Q: Why combine resection with rectopexy?

Patients with a long redundant sigmoid often have severe constipation that may worsen after rectopexy alone. Combining sigmoidectomy with rectopexy addresses both the prolapse and the constipation comprehensively.

Q: Is the recovery longer than simple rectopexy?

Recovery is slightly longer due to the bowel resection — typically 3–5 days in hospital and full return to work in 2–3 weeks. The functional benefits often justify this for the right patient.

Q: Will I need any special diet after surgery?

A high-fibre diet, adequate fluids, and gradual return to normal eating are recommended. Most patients tolerate normal diet within a few weeks.

Q: Will my bowel function be normal?

Bowel function usually improves significantly after resection rectopexy. Some patients may need pelvic floor therapy for additional functional optimisation.

Combines surgical removal of redundant sigmoid colon with rectopexy — used for select patients with rectal prolapse and severe constipation, addressing both problems together.

120–180 min PROCEDURE

3–5 Days HOSPITAL STAY

>90% SUCCESS RATE

2–3 Weeks RETURN TO WORK

What is Resection Rectopexy?

Resection Rectopexy combines two procedures in one operation — removal of the redundant sigmoid colon (sigmoidectomy) and fixation of the rectum to the sacrum (rectopexy). It is particularly useful for patients with rectal prolapse who also suffer from severe constipation due to a long, redundant sigmoid colon. The combination addresses both the prolapse and the underlying functional problem in a single sitting. Dr. Tejasree Vengala performs laparoscopic resection rectopexy at Lux Hospitals, Hyderabad, offering a definitive solution with improved bowel function.

Suitable for patients with full-thickness rectal prolapse and significant constipation, those with a long redundant sigmoid colon, or where rectopexy alone may worsen constipation.

How the Procedure Works

Anaesthesia & Preparation

Surgery is performed under general anaesthesia. The abdomen is prepared, and a urinary catheter is placed.

Keyhole Access

Three to four small incisions are made for the laparoscopic camera and working instruments.

Sigmoid Mobilisation & Resection

The redundant sigmoid colon is mobilised and resected. The healthy bowel ends are prepared for anastomosis.

Anastomosis & Rectopexy

The healthy bowel ends are joined together. The rectum is then mobilised and fixed to the sacrum to correct the prolapse.

Closure & Recovery

The small incisions are closed with absorbable sutures. Most patients are mobilised the next day and discharged in 3–5 days.

Outcomes

120–180 minDURATION

3–5 DaysHOSPITAL STAY

>90%SUCCESS RATE

4–6 WeeksFULL RECOVERY

Who Needs This Treatment?

→Addresses both prolapse and constipation in one surgery
→Removes the redundant sigmoid colon causing functional issues
→Significantly improves bowel function and quality of life
→Minimally invasive laparoscopic approach available
→Low long-term recurrence rate
→Comprehensive solution for complex pelvic floor dysfunction

Resection rectopexy is two operations in one — and for the right patient with a long, lazy sigmoid and a stubborn prolapse, it is the only way to truly fix both problems together. The functional improvement afterwards is often dramatic.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Why combine resection with rectopexy?+

Is the recovery longer than simple rectopexy?+

Will I need any special diet after surgery?+

Will my bowel function be normal?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

WhatsApp Us ← Back to Treatments