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Summary
Rectal prolapse, or procidentia, involves the full thickness rectal wall extruding through the anus. Surgical options like Well's Procedure or Thiersch-Procedure offer varying success rates for this condition.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Rectal prolapse (procidentia) is the complete extrusion of the rectal wall through the anus.
- Intussusception is a key factor in the development of rectal prolapse.
- Existing surgical interventions for rectal prolapse have yielded unsatisfactory results.
Purpose:
- To review the etiology and surgical management of complete rectal prolapse.
- To present preferred surgical techniques based on clinical feasibility and outcomes.
Summary:
- The transperitoneal approach (Well's Procedure) with sacro-fixation is the author's preferred method for rectal prolapse.
- For cases requiring a perineal approach, Thiersch-Procedure with Stelzner's modification provides acceptable outcomes.
- The Sarafoff procedure is a viable option for complex, recurrent rectal prolapse cases.
Impact:
- Highlights effective surgical strategies for rectal prolapse, addressing a condition with historically challenging outcomes.
- Provides guidance on selecting appropriate surgical interventions based on patient factors and recurrence.
- Contributes to improving patient management and surgical success rates in colorectal surgery.