Related Experiment Videos
Complete rectal prolapse in Enugu, Nigeria.
1Department of Surgery, University of Nigeria Teaching Hospital, Enugu.
Scandinavian Journal of Gastroenterology. Supplement
|January 1, 1986
Summary
The Thiersch operation for rectal prolapse has high recurrence and complication rates. Posterior rectopexy is a simpler, safer, and more effective surgical option for complete rectal prolapse.
Area of Science:
- Colorectal Surgery
- Surgical Gastroenterology
Background:
- Complete rectal prolapse is a debilitating condition requiring surgical intervention.
- Traditional surgical methods like the Thiersch operation and anterior resection have limitations.
Purpose of the Study:
- To evaluate the efficacy and safety of different surgical techniques for complete rectal prolapse.
- To compare the outcomes of the Thiersch operation and anterior resection with posterior rectopexy.
Main Methods:
- Retrospective review of 30 patients treated with the Thiersch operation over 5 years.
- Comparison with 7 consecutive patients treated with posterior rectopexy.
Main Results:
- The Thiersch operation demonstrated an unacceptably high rate of recurrence, sepsis, and fecal impaction.
- Anterior resection, while more successful, is associated with significant morbidity.
- Posterior rectopexy proved to be simple, safe, and effective in the studied cases.
Conclusions:
- The Thiersch operation should be abandoned for treating complete rectal prolapse.
- Anterior resection is considered too formidable for this benign condition.
- Posterior rectopexy is recommended as the preferred surgical treatment for complete rectal prolapse due to its favorable outcomes.