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Longitudinal plication--a surgical strategy for complete rectal prolapse management.

Seerwan H S Qaradaghy1, Taher A H Hawramy, Beston F Nore

  • 1Department of General Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Sulaimani, Kurdistan Region, Iraq. quaradaghi@gmail.com.

BMC Surgery
|March 25, 2014
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Summary

Longitudinal plication (LP) offers a safe and effective surgical solution for rectal prolapse, demonstrating high success rates and minimal invasiveness across all age groups.

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Innovation

Background:

  • Rectal prolapse, a condition known since antiquity, lacks a fully understood etiology.
  • Current treatments for rectal prolapse exceed 100, yet none are considered ideal.
  • The persistent challenge of effective rectal prolapse management necessitates novel approaches.

Purpose of the Study:

  • To evaluate the efficacy and safety of longitudinal plication (LP) for treating full-thickness rectal prolapse.
  • To assess the outcomes of LP in a diverse patient population, including various age groups.
  • To determine the recurrence rate and impact on fecal continence following LP surgery.

Main Methods:

  • A cohort of thirty patients with full-thickness rectal prolapse underwent surgical repair using longitudinal plication (LP).
  • The LP technique involved using braided polyglycolic acid sutures for plication at two or three points.
  • Patients were treated as day cases, with a short post-operative recovery period.

Main Results:

  • Twenty-nine out of thirty patients achieved complete recovery from rectal prolapse.
  • Fecal continence was regained in twenty-one of twenty-three patients who experienced pre-operative incontinence.
  • A single recurrence was noted two years post-operation, successfully managed with repeat LP.

Conclusions:

  • Longitudinal plication (LP) is a simple, safe, and less invasive surgical procedure for rectal prolapse.
  • The technique is suitable for all age groups and can be performed in a standard surgical setting.
  • LP demonstrates a high success rate with a low complication profile, offering an effective treatment option.