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Perineal rectopexy for rectal prolapse

A P Wyatt

    The British Journal of Surgery
    |October 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Perineal rectopexy effectively treats complete rectal prolapse in elderly patients unfit for abdominal surgery, with low morbidity and recurrence rates. Further research is needed for broader application.

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    Area of Science:

    • Colorectal Surgery
    • Gastroenterology
    • Geriatric Medicine

    Background:

    • Complete rectal prolapse affects elderly individuals, often deeming them unfit for major abdominal surgery.
    • Traditional surgical approaches carry significant risks for this patient demographic.

    Purpose of the Study:

    • To evaluate the efficacy and safety of operative fixation of the rectum to the sacrum via a perineal approach for complete rectal prolapse.
    • To assess this minimally invasive technique as a potential alternative for elderly patients.

    Main Methods:

    • Twenty-two female patients (mean age 75 years) with complete rectal prolapse underwent rectopexy using a perineal approach.
    • Patients were monitored for operative outcomes, complications, and prolapse recurrence.

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    Main Results:

    • No operative mortality, sepsis, or serious morbidity was observed.
    • One recurrence occurred within a month, attributed to inadequate fixation.
    • Twenty-one patients were followed for up to 4 years with sustained success.

    Conclusions:

    • Perineal rectopexy is a safe and effective treatment for complete rectal prolapse in elderly patients unsuitable for abdominal surgery.
    • This approach offers a viable alternative, though further experience is required for wider patient group recommendations.