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[In Process Citation]

Schutz1, Ulrich

  • 1Chirurgische Klinik, Kliniken der Landeshauptstadt Dusseldorf, Krankenhaus Gerresheim.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 9, 1999
PubMed
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Extracorporeal resection with a stapling device is a safe and effective treatment for complete rectal prolapse. This perineal approach offers advantages over transabdominal methods, making it suitable beyond high-risk patients.

Area of Science:

  • Colorectal Surgery
  • Surgical Gastroenterology

Background:

  • Complete rectal prolapse affects a significant patient population, often elderly with comorbidities.
  • Transabdominal surgical approaches have been standard but can be invasive.

Purpose of the Study:

  • To evaluate the safety and efficacy of extracorporeal resection using a stapling device for complete rectal prolapse.
  • To compare the perineal approach with transabdominal procedures.

Main Methods:

  • A cohort of 27 patients with complete rectal prolapse underwent extracorporeal resection via a stapling device.
  • Data collected included patient demographics, operation time, hospital stay, and perioperative outcomes.

Main Results:

  • The mean age of female patients was 74 years; mean operation time was 61 minutes; mean hospital stay was 17 days.

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  • 96% of patients had concurrent diseases. Perioperative mortality was 3.7%, with 18% experiencing postoperative complications.
  • Postoperative incontinence was reported in 19% of patients.

    • Conclusions:

    • Extracorporeal resection with a stapling device is a secure and technically straightforward procedure for complete rectal prolapse.
    • The perineal approach offers advantages, suggesting its use should extend beyond high-risk individuals.