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Related Experiment Videos

Modified Thiersch operation for rectal prolapse. Technique and results.

G V Poole, T C Pennell, R T Myers

    The American Surgeon
    |April 1, 1985
    PubMed
    Summary

    The modified Thiersch procedure using a Dacron graft effectively treats rectal prolapse in high-risk patients or those with mild to moderate prolapse, restoring continence and correcting prolapse in most cases.

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    Area of Science:

    • Colorectal Surgery
    • Gastroenterology
    • Surgical Innovation

    Background:

    • Rectal prolapse management involves complex intra-abdominal or perineal surgeries.
    • Alternative treatments are needed for high-risk patients or those with less severe prolapse.

    Purpose of the Study:

    • To evaluate the efficacy and safety of a modified Thiersch procedure for rectal prolapse treatment.
    • To assess outcomes regarding prolapse correction and fecal continence.

    Main Methods:

    • A modified Thiersch procedure using a knitted Dacron vascular graft was performed on 15 patients over 20 years.
    • Patients included those at high risk or with mild to moderate rectal prolapse.

    Main Results:

    • Successful prolapse correction in 13 of 15 patients.

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  • Improved continence in 6 of 9 previously incontinent patients; continence maintained in 6 continent patients.
  • Complications included graft infections and suture issues, with 3 patients requiring graft removal.

    • Conclusions:

    • The modified Thiersch procedure is a viable option for selected rectal prolapse patients, particularly those at high surgical risk.
    • Proper technique is crucial for successful outcomes and minimizing complications.
    • This approach offers a valuable alternative to more invasive procedures for specific patient populations.