Correction of rectal prolapse by anterior resection

Area of Science:

• Colorectal Surgery
• Gastroenterology
• Surgical Innovation

Background:

• Complete rectal prolapse is a debilitating condition requiring effective surgical intervention.
• Traditional surgical methods for rectal prolapse have varying success rates and complication profiles.
• Advancements in surgical techniques are crucial for improving patient outcomes in proctology.

Purpose of the Study:

• To evaluate the efficacy and safety of low anterior resection with rectopexy for treating complete rectal prolapse.
• To assess the recurrence rates and complication incidence associated with this surgical procedure.
• To determine the long-term outcomes of low anterior resection with rectopexy in a patient cohort.

Main Methods:

• A retrospective analysis of nine patients undergoing low anterior resection with rectopexy for complete rectal prolapse.
• Surgical technique involved low anterior resection combined with rectopexy.
• Patient outcomes, including recurrence and complications, were monitored over a three-year period.

Main Results:

• No recurrences of complete rectal prolapse were observed in the nine treated patients.
• A low complication rate was reported, with only two patients experiencing adverse events.
• Complications included a presacral abscess (unrelated to anastomosis) and a spontaneous fecal fistula in an elderly patient, both managed conservatively.

Conclusions:

• Low anterior resection with rectopexy is a highly effective surgical option for complete rectal prolapse, with a zero recurrence rate in this series.
• The procedure demonstrates a favorable safety profile, characterized by a low incidence of significant complications.
• This surgical approach offers a promising solution for managing complete rectal prolapse, potentially reducing the need for more invasive interventions.