PMC5737946_01
Rectal prolapse of 2 cm three years following LAARP.
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Despite therapy with laxatives, the prolapse progressed over two years from mucosal to persistent full-thickness RP of 2 cm (Fig. 1).
MRI showing the tubular anorectum (red box) without any signs of sphincteric tonisation. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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MRI revealed a tubular anorectum without any signs of sphincteric tonisation and a weakly developed pelvic floor musculature (Fig. 2).
Well's procedure, the mesh was tacked to the sacrum (a); subsequently it was wrapped posteriorly around the rectum and sutured to the lateral sides (b). Thereafter, the peritoneal fold was closed.
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After freeing the rectum completely down to the pelvic floor and pulling it back into the abdomen, a 5 x 5 cm prolene mesh was tacked to the sacrum, wrapped posteriorly 270  around the rectum and fixed to the rectum with three interrupted prolene sutures on each side (Fig. 3).