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Surgically treated rectal prolapse: experience at a teaching hospital
Shahzad M Shamim1, Khalid Hameed
1Department of Surgery, Colorectal Unit, Aga Khan University Hospital, Karachi.
JPMA. the Journal of the Pakistan Medical Association
|July 28, 2005
Summary
Surgical treatment for complete rectal prolapse in adults involves various procedures, with abdominal rectopexy being favored. Perineal approaches offer shorter recovery, while revision surgeries extend operative time and hospital stay.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Surgical Outcomes
Background:
- Complete rectal prolapse is a condition requiring surgical intervention in adults.
- The absence of a standardized surgical approach necessitates analysis of existing treatment outcomes.
Purpose of the Study:
- To analyze surgical treatment outcomes for complete rectal prolapse.
- To evaluate patient demographics, presenting symptoms, risk factors, and surgical procedures performed.
Main Methods:
- Retrospective review of adult patients undergoing surgery for complete rectal prolapse (1988-2003).
- Data collection included patient records, telephone, and letter follow-ups.
- Statistical analysis of variables using SPSS 10.0.
Main Results:
- Twenty surgeries were performed; common symptoms included rectal prolapse, bleeding, pain, and incontinence.
- Chronic constipation (50%) and obstructive uropathy (30%) were significant comorbidities.
- Mean follow-up was 25 months, with early and late complication rates of 5% and 30%, respectively.
Conclusions:
- Surgery remains the definitive treatment for adult rectal prolapse.
- Abdominal rectopexy was preferred; perineal procedures showed shorter operative times and hospital stays, particularly in females and the elderly.
- Revision surgeries were associated with increased operative time and hospital stay.