Laparoscopic Rectopexy
Keyhole fixation of the rectum to the sacrum — gold standard for full-thickness rectal prolapse with lowest recurrence rates.
What is Laparoscopic Rectopexy?
Laparoscopic rectopexy is the abdominal operation of choice for full-thickness rectal prolapse in fit patients. The rectum is mobilised laparoscopically and fixed to the sacral promontory using sutures or mesh, preventing re-prolapse. Resection rectopexy adds sigmoid colectomy for patients with concurrent constipation.
Dr. Tagore Mohan Grandhi performs laparoscopic rectopexy using a minimally invasive approach wherever possible, offering the lowest recurrence rates among all prolapse operations at 5–10% at 5 years.
Suitable for patients with full-thickness rectal prolapse who are fit for abdominal surgery — particularly younger or active patients in whom the lower recurrence rate of rectopexy outweighs the added operative risk.
How the Procedure Works
Patient Positioning
Patient placed supine under general anaesthesia. Laparoscopic ports inserted. Steep Trendelenburg positioning allows bowel to fall away from the pelvis.
Rectal Mobilisation
Rectum mobilised in the presacral plane down to the pelvic floor, preserving the autonomic nerves.
Sacral Fixation
Mobilised rectum elevated and sutured or stapled to the presacral fascia overlying the sacral promontory. Mesh may reinforce fixation in selected cases.
Sigmoid Resection (if indicated)
In resection rectopexy, redundant sigmoid colon excised with primary anastomosis to address concurrent constipation.
Closure and Recovery
Ports closed. Oral fluids day one. Early mobilisation encouraged. High-fibre diet and pelvic floor physiotherapy post-operatively.
Outcomes
Who Needs This Treatment?
- →Lowest recurrence rates of all prolapse operations — 5–10% at 5 years
- →Laparoscopic approach — smaller incisions, faster recovery, less post-operative pain
- →Autonomic nerve preservation maintains bladder and sexual function
- →Resection rectopexy simultaneously addresses constipation when present
Rectopexy gives fit patients with rectal prolapse the best chance of long-term cure. The laparoscopic approach combines the efficacy of an abdominal repair with the benefits of minimally invasive surgery.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Laparoscopic Rectopexy Cost in Hyderabad
The cost of Laparoscopic Rectopexy in Hyderabad depends on factors such as the severity of rectal prolapse, surgical approach required, pre-operative evaluation, hospital stay, and post-operative care.
For patients with full-thickness rectal prolapse who are suitable for minimally invasive surgery, the approximate cost of Laparoscopic Rectopexy ranges between ₹1,20,000 and ₹2,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laparoscopic Rectopexy | ₹1,20,000 – ₹2,50,000 |
The final cost may vary depending on your individual condition, surgical findings, hospital stay, and additional treatment requirements.
Factors That Influence Laparoscopic Rectopexy Cost
The overall cost may depend on:
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Severity of rectal prolapse: The extent of prolapse, associated symptoms, and bowel function changes can influence treatment planning and surgical approach.
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Pre-operative evaluation: Clinical examination, imaging, colon evaluation, blood tests, and medical fitness assessments may contribute to the overall cost.
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Surgical requirements: The complexity of the procedure, anaesthesia, hospital stay, and post-operative monitoring may affect the final estimate.
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Recovery and follow-up care: Medications, dietary guidance, bowel management, and follow-up consultations may influence the overall treatment cost.
Is Laparoscopic Rectopexy Covered by Insurance?
Laparoscopic Rectopexy may be covered by health insurance when performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and insurer approval process.
Our insurance support team can assist you with checking policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your symptoms, medical history, and examination findings to determine whether Laparoscopic Rectopexy is suitable for your condition. He will explain the procedure, expected outcomes, recovery process, and provide an estimated cost based on your individual condition and treatment requirements.
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