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Simplified sutured sacral rectopexy for complete rectal prolapse in adults
A K Khanna1, M K Misra, K Kumar
1Department of Surgery, Banaras Hindu University, Varanasi, India.
The European Journal of Surgery = Acta Chirurgica
|February 1, 1996
Summary
Simplified sutured sacral rectopexy effectively treats complete rectal prolapse in adults. This surgical approach demonstrated no recurrence of complete prolapse and improved incontinence and constipation in patients.
Area of Science:
- Colorectal surgery
- Gastroenterology
- Surgical innovation
Background:
- Complete rectal prolapse is a debilitating condition requiring effective surgical intervention.
- Traditional rectopexy procedures can be complex and associated with significant morbidity.
Purpose of the Study:
- To evaluate the efficacy and outcomes of a simplified sutured sacral rectopexy technique.
- To assess the procedure's impact on recurrence rates, incontinence, and constipation.
Main Methods:
- A prospective study was conducted at a university hospital in India.
- Sixty-five adult patients diagnosed with complete rectal prolapse underwent a modified sutured sacral rectopexy.
- Outcomes including morbidity, mortality, and recurrence were meticulously monitored.
Main Results:
- Over a mean follow-up of 5.4 years, no patients experienced recurrence of complete rectal prolapse.
- A low rate of 5% (3 patients) developed mucosal prolapse.
- Significant improvements were observed in fecal incontinence (75%) and constipation (83.3%).
Conclusions:
- Simplified sutured sacral rectopexy is a straightforward and effective surgical option for adult complete rectal prolapse.
- The procedure yields favorable outcomes, including high success rates and symptom improvement.
- This technique offers a valuable alternative for managing rectal prolapse.