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Related Experiment Videos

An abdominal repair for complete rectal prolapse.

A M Cuthbertson1, J A Smith

  • 1Colorectal Surgery Service, Royal Melbourne Hospital, Melbourne, Victoria, Australia.

The Australian and New Zealand Journal of Surgery
|June 1, 1988
PubMed
Summary

This study shows that a modified sling rectopexy effectively treats complete rectal prolapse, significantly improving patient continence. The abdominal repair procedure achieved over 90% prolapse control in 104 patients.

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Area of Science:

  • Colorectal Surgery
  • Surgical Techniques
  • Gastrointestinal Procedures

Background:

  • Complete rectal prolapse affects a significant patient population.
  • Surgical intervention is often necessary for complete rectal prolapse.
  • Various surgical approaches exist, each with its own efficacy and complication profile.

Purpose of the Study:

  • To evaluate the efficacy and safety of a modified sling rectopexy for complete rectal prolapse.
  • To assess the impact of this surgical technique on prolapse recurrence and fecal incontinence.

Main Methods:

  • A modified sling rectopexy using mersilene mesh was performed on 104 patients with complete rectal prolapse between 1975 and 1986.
  • The mesh was sutured to the sacrum and rectal sides, avoiding anterior enclosure.

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  • Postoperative outcomes including mortality, morbidity, prolapse control, and continence were recorded.

    • Main Results:

    • The procedure resulted in a 2% postoperative mortality rate and 23% morbidity.
    • Over 90% of patients achieved successful prolapse control.
    • Fecal continence improved significantly, rising from 37% preoperatively to 86% postoperatively.

    Conclusions:

    • The modified sling rectopexy is an effective abdominal surgical method for correcting complete rectal prolapse.
    • This technique demonstrates high rates of prolapse control and significant improvement in fecal continence.
    • The study supports the use of this modified rectopexy in managing complete rectal prolapse.