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Modified perineal linear stapler resection for external rectal prolapse.

Osama H Khalil¹, Tamer A A M Habeeb¹, Bassem M Sieda¹

¹Department of Surgery, Faculty of Medicine, Zagazig University, Egypt.

Annals of Medicine and Surgery (2012)

|April 24, 2020

Summary

This summary is machine-generated.

A modified linear stapler resection offers a safe and effective surgical treatment for elderly patients with external rectal prolapse, significantly improving fecal incontinence and constipation with minimal complications.

Keywords:

Constipation Fecal incontinence Perineal linear stapler resection Rectal prolapse

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Area of Science:

Gastroenterology
Colorectal Surgery
Geriatric Surgery

Background:

External rectal prolapse significantly impacts patient quality of life, causing bleeding and fecal incontinence.
Surgical intervention is the standard treatment, with various abdominal or perineal procedures available.
Elderly, fragile, and comorbid patients often cannot tolerate major surgeries or prolonged anesthesia.

Purpose of the Study:

To evaluate a simple, safe surgical technique for treating external rectal prolapse in elderly, comorbid patients.
To assess the functional outcomes, operative time, hospital stay, and complications of the modified procedure.

Main Methods:

A modified linear stapler resection technique was employed in 36 elderly, comorbid patients with rectal prolapse.
The study was conducted between December 2016 and July 2019 at Zagazig University Hospital's GIT surgery unit.
Postoperative follow-up extended for one year to assess outcomes.

Main Results:

The study included 36 patients with a median age of 75 years.
The postoperative complication rate was 11.1%, with a median operative time of 25 minutes and a 4-day hospital stay.
Fecal incontinence improved in over 90% of patients, and constipation resolved in 66% of constipated patients.

Conclusions:

The modified perineal linear stapler resection is an effective, straightforward, and rapid treatment for external rectal prolapse in elderly, comorbid individuals.
This technique yields favorable functional outcomes, making it a suitable option for high-risk surgical candidates.