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Complete rectal prolapse: repair by a simple technique.
Annals of the Royal College of Surgeons of England
|March 1, 1984
Summary
This study presents a simple posterior rectopexy technique for complete rectal prolapse repair, avoiding foreign materials. The method shows low morbidity and mortality with no recurrences in patients.
Area of Science:
- Colorectal Surgery
- Surgical Techniques
Background:
- Complete rectal prolapse is a debilitating condition requiring surgical intervention.
- Traditional surgical methods may involve foreign materials or extensive dissection, posing risks.
Purpose of the Study:
- To describe and assess a simple posterior rectopexy technique for complete rectal prolapse.
- To evaluate the safety, efficacy, and recurrence rates of this surgical approach.
Main Methods:
- A posterior rectopexy procedure involving suturing the rectum to the sacrum with linen sutures.
- The technique avoids the use of foreign material sheets and minimizes pelvic dissection.
- The procedure was performed on 23 patients across a wide age range.
Main Results:
- The surgery was performed on 23 patients aged 14-88 years, with follow-up ranging from 2 months to 6.5 years.
- One postoperative death occurred, indicating low mortality.
- The majority of patients became asymptomatic with no recurrences of complete rectal prolapse.
Conclusions:
- This simple posterior rectopexy is a safe and effective treatment for complete rectal prolapse.
- The technique is suitable for all age groups, including high-risk patients, due to minimal dissection.
- The absence of recurrences suggests long-term efficacy.