Anal encirclement using polypropylene mesh for high grade complete full-thickness rectal prolapse: A case report

Area of Science:

• Colorectal Surgery
• Geriatric Surgery
• Pelvic Floor Disorders

Background:

• Rectal prolapse, a protrusion of the rectal wall, necessitates operative repair due to pelvic floor abnormalities.
• No single surgical technique is ideal for all rectal prolapse patients.
• Elderly patients with high-risk comorbidities present unique challenges for surgical intervention.

Observation:

• Two elderly female patients with high-risk comorbidities (arrhythmia, hypertensive heart disease, pneumonia) presented with full-thickness rectal prolapse.
• Both patients underwent a modified anal encirclement repair using mesh cerclage.
• Postoperative recovery was short, with patients hospitalized for three days.

Findings:

• The modified anal encirclement technique using mesh effectively treated full-thickness rectal prolapse in these high-risk elderly patients.
• No recurrence or complications were observed at 6 months post-surgery.
• The procedure was associated with minimal postoperative complications.

Implications:

• Mesh-augmented anal encirclement is a viable, safe, and effective alternative for managing rectal prolapse in elderly, high-risk patients.
• This technique offers a simple surgical option with a low complication rate and good recurrence prevention.
• Further research may explore this technique in a broader patient population with rectal prolapse.