Laparoscopic rectopexy for recurrent rectal prolapse: a safe and simple procedure without a mesh prosthesis.

Two female patients, 65 and 61 years old, respectively, suffering from a recurrent rectal prolapse under went laparoscopic rectopexy. Our modified method using an ultransonically activated scalpel (Harmonic Sealpel) and a laparoscopic suturing device (Endo Stich) both shortened and simplified the operation. The operation times were 140 minutes and 120 minutes, respectively. Neither of the patients demonstrated either intraoperative complications or recurrence of the prolapse during the 24-month follow-up. Our procedure using these new instruments could be performed simply, safely, and in a short time, without the use of a mesh prosthesis.