Treatment of rectal prolapse by sphincteric support using silastic rods

Area of Science:

• Colorectal Surgery
• Geriatric Medicine
• Medical Device Technology

Background:

• Rectal prolapse is a debilitating condition, particularly in the elderly.
• Traditional surgical options may pose significant risks for elderly patients.
• Minimally invasive approaches are sought to manage rectal prolapse in this demographic.

Purpose of the Study:

• To evaluate the efficacy and safety of silastic perianal rings for treating rectal prolapse in elderly patients.
• To assess the long-term outcomes and recurrence rates associated with this intervention.

Main Methods:

• A retrospective review of 41 elderly patients undergoing 52 operations using silastic perianal rings over a 6-year period.
• Analysis of operative mortality, prolapse control rates, and recurrence following ring removal.

Main Results:

• No operative mortality was observed in patients with a mean age of 80 years.
• Adequate prolapse control was achieved in 71% of patients.
• Three additional patients experienced no recurrence despite ring failure and subsequent removal.

Conclusions:

• Silastic perianal rings provide a safe and effective treatment option for rectal prolapse in elderly patients, especially those unfit for abdominal surgery.
• While results are inferior to abdominal procedures, the perianal ring approach warrants consideration for high-risk elderly individuals.
• This technique offers a valuable alternative for managing rectal prolapse in a vulnerable patient population.