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A simple and safe procedure to repair rectal prolapse perineally using stapling devices
Fumitake Hata1, Hidefumi Nishimori1, Shinichiro Ikeda1
1Department of Surgery, Sapporo Dohto Hospital, Sapporo, Japan.
Case Reports in Gastroenterology
|February 28, 2014
Summary
A new perineal stapling technique offers a simple, safe, and rapid solution for rectal prolapse repair. This procedure showed no recurrence or complications in five patients over two years, improving quality of life.
Area of Science:
- Colorectal surgery
- Gastroenterology
- Surgical innovation
Background:
- Rectal prolapse significantly impacts patient quality of life and caregiver well-being.
- Existing treatments for rectal prolapse lack established protocols and vary by severity.
- Elderly and fragile patients often require minimally invasive and rapid surgical options.
Observation:
- A novel perineal approach utilizing surgical stapling devices was employed for rectal prolapse repair.
- The procedure was performed on five patients with complete rectal prolapse.
- A short operative time was noted for all cases.
Findings:
- All five patients experienced successful rectal prolapse repair with no recurrence over a 24-month follow-up period.
- No intraoperative or postoperative complications were reported.
- The procedure demonstrated a high safety and efficacy profile.
Implications:
- This stapled perineal proctoplasty may represent a superior treatment option for complete rectal prolapse, particularly in elderly patients.
- The technique's simplicity, safety, and speed align with the needs of frail patient populations.
- Further long-term outcome studies are warranted to solidify its position in clinical practice.
