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[Surgery for complete rectal prolapse in adults].

N Nasrallah¹, M Rabau, M Michowitz

¹Dept. of Surgery C, Ichilov Hospital, Tel Aviv Medical Center.

|June 15, 1992

Summary

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Abdominal rectopexy effectively treats complete rectal prolapse, with most patients experiencing improved continence and no recurrence. This surgical approach offers good to very good outcomes for rectal prolapse patients.

Area of Science:

Gastroenterology
Colorectal Surgery

Context:

Complete rectal prolapse is a debilitating condition requiring surgical intervention.
Surgical outcomes for complete rectal prolapse can vary, necessitating evaluation of different techniques.

Purpose:

To evaluate the efficacy and outcomes of abdominal rectopexy for complete rectal prolapse.
To assess complications, anal continence, and recurrence rates following surgical repair.

Summary:

Seventeen women and three men underwent surgery for complete rectal prolapse between 1986 and 1991.
An abdominal approach with posterior rectopexy was the primary surgical method used.
The Thiersch procedure was employed for three high-risk patients, with no major complications reported.

Impact:

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The study demonstrates high patient satisfaction and significant improvement in anal continence.
Abdominal rectopexy resulted in no recurrence of complete rectal prolapse during follow-up.
Postoperative complications included urinary tract infections (15%) and fecal impaction (10%).