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Rectal prolapse: rational therapy without foreign material.

G J Blatchford1, R E Perry, A G Thorson

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

The Netherlands Journal of Surgery
|December 1, 1989
PubMed
Summary
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For rectal prolapse repair, perineal rectosigmoidectomy suits elderly patients, while simple suture rectopexy is preferred for abdominal repairs due to its lower risk profile compared to resection.

Area of Science:

  • Colorectal Surgery
  • Surgical Procedures
  • Gastrointestinal Health

Background:

  • Rectal prolapse is a condition requiring surgical intervention.
  • Selecting the optimal surgical approach is crucial for patient outcomes.
  • Various surgical techniques exist, each with specific indications and risks.

Purpose of the Study:

  • To evaluate the efficacy and safety of different surgical options for rectal prolapse.
  • To provide guidance on selecting the most appropriate procedure based on patient characteristics and clinical factors.

Main Methods:

  • Review of surgical procedures for rectal prolapse, including perineal rectosigmoidectomy and simple suture rectopexy.
  • Comparison of outcomes and risks associated with abdominal versus perineal approaches.

Related Experiment Videos

  • Consideration of patient factors such as age, debilitation, and comorbidities.

    • Main Results:

    • Perineal rectosigmoidectomy is a viable option for elderly and debilitated patients.
    • Simple suture rectopexy is recommended for abdominal prolapse repair, offering comparable results with reduced risk.
    • Colon resection is reserved for specific cases involving polyp surveillance or a history of diverticulitis.

    Conclusions:

    • The choice of surgical procedure for rectal prolapse should be individualized.
    • Simple suture rectopexy presents a favorable risk-benefit profile for abdominal repairs.
    • Alternative procedures like perineal rectosigmoidectomy and selective colon resection have defined roles in rectal prolapse management.