Two Rings, Two Recoveries: Exploring the Thiersch Method in Complicated Cases.

Area of Science:

• Colorectal Surgery
• Surgical Case Reports

Background:

• Rectal prolapse significantly impacts quality of life, often requiring surgical intervention.
• Various surgical techniques exist, but newer abdominal and perineal approaches have largely superseded anal encirclement procedures.

Observation:

• This case report details the management of rectal prolapse in two patients with significant comorbidities.
• Both patients presented with a prolapsing anal mass and underwent the Thiersch procedure.

Findings:

• The Thiersch procedure, an anal encirclement technique, was successfully employed in two high-risk patients with rectal prolapse.
• Postoperative monitoring and regular follow-up were conducted, with patients discharged once vitally stable.

Implications:

• The Thiersch procedure is a valuable option for select patient populations, particularly high-risk individuals or those with poor compliance for extensive surgeries.
• It can serve as a temporary measure until definitive treatment is planned.