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Anterior resection for complete rectal prolapse.

R T Schlinkert, R W Beart, B G Wolff

    Diseases of the Colon and Rectum
    |June 1, 1985
    PubMed
    Summary
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    High anterior resection is a preferred surgical treatment for complete rectal prolapse, offering comparable recurrence rates to other methods with acceptable outcomes. This approach minimizes complications associated with low anterior resection.

    Area of Science:

    • Colorectal Surgery
    • Gastrointestinal Surgery

    Background:

    • Complete rectal prolapse is a condition requiring surgical intervention.
    • Anterior resection has been utilized for treating rectal prolapse.

    Purpose of the Study:

    • To evaluate the long-term outcomes of anterior resection for complete rectal prolapse.
    • To compare the efficacy and complications of high versus low anterior resection.

    Main Methods:

    • A retrospective review of 113 patients who underwent anterior resection for rectal prolapse between 1968 and 1980.
    • Follow-up averaged seven years, assessing recurrence rates, operative mortality, morbidity, and continence.

    Main Results:

    • A 9% recurrence rate was observed, with probabilities of 3% at 2 years, 6% at 5 years, and 12% at 10 years.

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  • Operative mortality was 1%, and morbidity was 29%.
  • Low anterior resection increased morbidity without significantly reducing recurrence compared to high anterior resection.

    • Conclusions:

    • High anterior resection is preferable to low anterior resection for treating rectal prolapse.
    • Results from high anterior resection are comparable to other current repair methods.
    • The impact of these repairs on patient continence remains unpredictable.