Cauterization-plication operation in the treatment of complete rectal prolapse

Area of Science:

• Colorectal Surgery
• Surgical Techniques
• Gastroenterology

Background:

• Complete rectal prolapse (CRP) is a debilitating condition affecting patients of all ages.
• Current treatment options for CRP can be invasive and carry significant risks.
• A simple, effective surgical approach for CRP is needed.

Purpose of the Study:

• To present a novel and simple surgical technique for the treatment of complete rectal prolapse (CRP).
• To evaluate the efficacy and safety of this technique in a cohort of patients.

Main Methods:

• A cohort of 28 patients with CRP underwent a new surgical procedure.
• The technique involved externalization of the prolapsed rectum, mucosal cauterization, and plication of the rectal muscle layer with sutures.
• Posterior levatorplasty was performed in select patients with significant prolapse and incontinence.

Main Results:

• The study included 28 patients (mean age 36.4 years), with 14 experiencing fecal incontinence.
• Postoperative follow-up averaged 31.6 months.
• Minor complications included transient mucosal prolapse in five patients and one recurrence, both successfully managed. No fecal impaction, stricture, or fistula formation occurred.

Conclusions:

• The described surgical technique is simple, easy to perform, and associated with minimal complications for treating complete rectal prolapse.
• This method offers a promising alternative for managing CRP, with good functional outcomes.