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Related Experiment Videos

Surgical treatment for rectal prolapse.

H H Chiu1, J B Chen, H M Wang

  • 1Division of Colorectal Surgery, Department of Surgery, Cheng Ching Hospital, 118, Sec. 3, Taichung-Kang Road, Taichung 407, Taiwan.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|May 18, 2001
PubMed
Summary

Surgical treatment for rectal prolapse is complex. Laparoscopic-assisted sigmoidectomy shows promise as a new option, with low complication and recurrence rates compared to other procedures.

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Area of Science:

  • Colorectal Surgery
  • Gastrointestinal Surgery

Background:

  • Full-thickness rectal prolapse presents a significant surgical challenge with no universally preferred treatment.
  • Various transabdominal and perineal surgical approaches exist for rectal prolapse correction.

Purpose of the Study:

  • To evaluate the outcomes of different surgical procedures for full-thickness rectal prolapse.
  • To assess the efficacy and safety of laparoscopic-assisted sigmoidectomy as a treatment option.

Main Methods:

  • A retrospective review of 32 patients (16 male, 16 female, mean age 58.3 years) treated between 1982 and 1999.
  • Procedures included rectopexy (14), sigmoidectomy (6), perineal rectosigmoidectomy (6), Delorme (1), Thiersch (1), and laparoscopic-assisted sigmoidectomy (4).
  • Median follow-up was 7.5 years.

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Main Results:

  • Rectopexy group: 7.1% complication, 7.1% recurrence.
  • Sigmoidectomy group: 0% complication, 10% recurrence.
  • Perineal rectosigmoidectomy group: 0% complication, 16.7% recurrence.
  • Overall complication rate: 3.1%; overall recurrence rate: 9.3%.

Conclusions:

  • The optimal surgical treatment for rectal prolapse remains debated.
  • Laparoscopic-assisted sigmoidectomy is presented as a potentially advantageous new approach for rectal prolapse treatment.