الفهرس 
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Abstract
Complete rectal prolapse is a disabling condition that has been reported ever since the Egyptian and Greek civilizations. In the past century, its management has evolved a great deal due to accumulation of knowledge obtained from physiologic investigations and follow-up of surgical series. Historically, the correction of rectal procidentia has evolved from simple perineal procedures, like Thiersch’s anal encirclement, to more complex perineal resections and abdominal approaches ranging from suspension options with or without bowel resection and use of slings and prosthetic material to restore rectal anatomy and function. In the last decade, laparoscopic repair has been successfully introduced and used in the surgical treatment of rectal prolapse. In our study twenty patients of complete rectal prolapse who attend the outpatient clinic of Minia University hospital in the period between Dec.2007 to May.2010.11 males and 9 females. The mean age of all patients was 53 years range from 26 to 70. All patients operated upon by laparoscopic posterior mesh rectopexy. The median follow up was 25 (4-48) months, Thirteen patients suffered from different degrees of incontinence in preoperative period (65%), The median duration of the procedure was 127 minutes ranged from 90 to 190 minutes, Tow cases was converted to open rectopexy, one case due to intraoperative bleeding & the other case due to rectal perforation, 3 (15%) cases in developed infection, 2 (10%) cases superficial trocars site infection which respond to antibiotics & one case developed deep abdominal infection with infected mesh which reexplored and the mesh was removed with fixation of the rectum with suture rectopexy, Mean hospital stay was 4.65 ranges from 2 to 10 days, Only 2 (10%) cases recurred after successful laparoscopy many months postoperative, the prolapse was partial in one case & managed by submucosal injection of ethanol amine oalate & the other was complete & managed by Delorme operation, Two cases (10%) develop constipation which responds to laxative & improved with time, 3 (15%) cases experienced pelvic pain for many months after the operation & respond to simple analgesia & improved with time, 3 (15%) cases developed Postoperative incontinence which was partial & improved with food modification, physiotherapy & antidiarrial drugs, 3 cases of male patient have developed impotence (about 33.3% of male patient) & have referred andrologist for his consultation. So we conclude that Laparoscopic rectopexy is relatively safe and efficient procedure to treat complete rectal prolapse with all benefits of laparoscopy but this study need to be augmented by anther study with large number of cases as now we have the enough experience to execute complete study without the impact of learning curve .