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Rectopexy without resection for rectal prolapse.

G J Blatchford1, R E Perry, A G Thorson

  • 1Department of Surgery, Creighton University, Omaha, Nebraska.

American Journal of Surgery
|December 1, 1989
PubMed
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Simple suture rectopexy is a safe and effective treatment for rectal prolapse, significantly improving patient continence. This rectal prolapse repair shows a low recurrence rate and manageable side effects.

Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Innovation

Background:

  • Rectal prolapse is a debilitating condition affecting patient quality of life.
  • Current surgical options for rectal prolapse vary in complexity and outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of simple posterior suture rectopexy for rectal prolapse repair.
  • To assess recurrence rates, postoperative morbidity, and functional outcomes, including continence and constipation.

Main Methods:

  • A cohort of 43 patients with rectal prolapse underwent simple posterior suture rectopexy.
  • Follow-up was conducted in 42 patients, with a mean follow-up of 28 months.
  • Outcomes assessed included recurrence, morbidity, mortality, and changes in fecal continence and constipation.

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Main Results:

  • A low recurrence rate of 2% (one patient) was observed.
  • Postoperative morbidity was 20%, with no mortality.
  • Fecal continence improved significantly, with the proportion of continent patients increasing from 36% preoperatively to 74% postoperatively.
  • Constipation increased post-surgically but was managed conservatively.

Conclusions:

  • Simple posterior suture rectopexy is a safe and effective procedure for rectal prolapse.
  • It offers a viable alternative to more complex surgical techniques.
  • The procedure demonstrates significant benefits in improving patient continence.