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Perineal stapled prolapse resection for full-thickness external rectal prolapse: a multicentre prospective study.
M Mistrangelo1, P Tonello2, R Brachet Contul3
1Department of Surgical Sciences, Centre of Minimal Invasive Surgery, University of Turin, Turin, Italy. mistrangelo@katamail.com.
Summary
Perianal stapled prolapse resection (PSP) offers good early functional results for rectal prolapse. This safe and fast procedure shows a favorable recurrence rate compared to other perineal techniques.
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Gastroenterology
Background:
- Full-thickness external rectal prolapse requires effective surgical intervention.
- Various surgical techniques exist, with Perianal stapled prolapse resection (PSP) being a newer option.
Purpose of the Study:
- To prospectively evaluate the outcomes of the Perianal stapled prolapse resection (PSP) procedure.
- Assess functional results, complications, and recurrence rates of PSP.
Main Methods:
- A prospective multicenter study involving 27 patients undergoing PSP for rectal prolapse.
- Data collected included operating time, hospital stay, complications, recurrence, and functional scores (Wexner Incontinence Scale, obstructive defaecation syndrome score).
Main Results:
- Significant improvements were observed in Wexner incontinence scores (10 to 5) and obstructive defaecation syndrome scores (12 to 5) post-surgery (P < 0.001).
- Median operating time was 48 minutes, with a 14.8% recurrence rate at 30.3 months follow-up. Early and late complication rates were 22.2% and 7.4%, respectively.
Conclusions:
- Perianal stapled prolapse resection (PSP) is presented as an easy, fast, and safe surgical option.
- Early functional outcomes are positive, and the recurrence rate is comparable to established perineal procedures.
- Further investigation into long-term functional results is warranted.
