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Perineal excision of rectal procidentia in elderly high-risk patients. A ten-year experience
P S Ramanujam1, K S Venkatesh, M J Fietz
1Department of Surgery, Walter O. Boswell Memorial Hospital, Sun City, Arizona.
Purpose:
This report presents a ten-year experience with perineal excision and posterior levator ani repair in elderly, high-risk patients with complete rectal procidentia.
Methods:
Seventy-two patients with rectal prolapse were treated with perineal excision. Nine presented with acute incarcerated rectal prolapse. Mortality, morbidity, recurrence rates, and improvement of anal continence were assessed.
Results:
Recurrence rate was 5.5 percent. Improvement in anal continence was seen in 66.7 percent of patients. Morbidity and mortality was low.
Conclusions:
Perineal excision of rectal prolapse is safe and has a low recurrence rate. Posterior levator ani repair seems to improve anal continence.