Management of acute incarcerated rectal prolapse

Area of Science:

• Colorectal surgery
• Gastroenterology
• Geriatric medicine

Background:

• Acute incarcerated rectal prolapse is a severe condition requiring urgent intervention.
• Surgical management options for elderly patients with this condition are limited.

Purpose of the Study:

• To evaluate the safety and efficacy of perineal excision for treating acute incarcerated rectal prolapse in elderly patients.

Main Methods:

• Retrospective analysis of eight elderly patients undergoing perineal excision for acute incarcerated rectal prolapse.
• Assessment of surgical outcomes, including recovery, complications, and recurrence rates.

Main Results:

• Six patients had an uneventful recovery without the need for colostomy.
• Two patients developed anastomotic leaks requiring diverting colostomy but achieved complete recovery.
• No mortalities or recurrences of rectal prolapse were reported.

Conclusions:

• Perineal excision is a viable surgical option for elderly patients with acute incarcerated rectal prolapse.
• The procedure demonstrated a low complication rate and no long-term recurrence in this cohort.
• Careful patient selection and management are crucial for optimizing outcomes.