Complete rectal prolapse: repair by a simple technique

A simple technique for the repair of complete rectal prolapse is described, and the results assessed. The method involves posterior rectopexy, suturing the rectum to the sacrum with paired interrupted linen sutures, thus avoiding the insertion of sheets of foreign material. The operation is suitable for all ages, and the minimal pelvic dissection required facilitates its use in high risk patients. The procedure was carried out in 23 patients, aged between 14 and 88, with a follow up period of between 2 months and 6.5 years. There was one postoperative death. The operation has a low morbidity and mortality, and the majority of the patients are now totally asymptomatic. There have been no recurrences of the complete rectal prolapse.