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A novel percutaneous technique for treating complete rectal prolapse in adults

Samir Ahmad Ammar¹, Mohamad B M Kottb²

¹Assiut University Hospitals, Assiut, Egypt samirahmed70@hotmail.com.

Surgical Innovation

|August 22, 2014

Abstract

Purpose:

To evaluate a new technique for treating complete rectal prolapse in adults that combines injection sclerotherapy with anal encirclement.

Methods:

From 2008 to 2012, 20 patients were treated using combined perirectal injection sclerotherapy with anal encirclement. The primary outcome was recurrent full-thickness/mucosal rectal prolapse.

Results:

The mean age of the patients was 39 years. The mean operating time was 17 minutes. Patients had short hospital stays (range = 2-4 days) and rapid recovery with no serious postoperative complications. After a mean follow-up of 22 months, recurrence occurred in 9 patients, and was complete in 6 cases and mucosal in 3 patients. Recurrent mucosal prolapse was treated with a mucosectomy, while recurrent complete rectal prolapse was treated with an open rectopexy with mesh.

Conclusion:

The combination of perirectal sclerotherapy and anal encirclement for treating complete rectal prolapse in adults is a simple and safe procedure with reasonable outcome. These findings call for confirmatory trials in larger series.

Keywords:

anal cerclage injection sclerotherapy rectal prolapse sclerosing material

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