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Complete rectal prolapse: repair by a simple technique.

W Graham, J F Clegg, V Taylor

    Annals of the Royal College of Surgeons of England
    |March 1, 1984
    PubMed
    Summary
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    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:

    Related Experiment Videos

    • 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.