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Surgical management of rectal prolapse.

TitleSurgical management of rectal prolapse.
Publication TypeJournal Article
Year of Publication2011
AuthorsMichalopoulos, A., Papadopoulos V. N., Panidis S., Apostolidis S., Mekras A., Duros V., Ioannidis A., Stavrou G., & Basdanis G.
JournalTech Coloproctol
Volume15 Suppl 1
PaginationS25-8
Date Published2011 Oct
ISSN1128-045X
KeywordsAged, Female, Humans, Length of Stay, Male, Postoperative Complications, Rectal Prolapse, Rectum, Recurrence
Abstract

PURPOSE: Rectal prolapse is uncommon; however, the true incidence is unknown because of underreporting, especially in the elderly population. Full-thickness rectal prolapse, mucosal prolapse and internal prolapse are three different clinical entities, which are often combined and constitute rectal prolapse. The aim of the study is to present our experience in the surgical management of rectal prolapse.METHODS: In a 6-year period (2004-2010), 27 patients were surgically treated for rectal prolapse. The majority of patients were women (25 women, two men) and their mean age was 72.36 years. The operations performed were two Delorme's procedures, five STARR (Stapled TransAnal Rectal Resection), 14 Wells procedures, two Wells combined with Thiersch, one Altemeier, one sigmoid resection combined with Wells and two Thiersch.RESULTS: An emergency sigmoidostomy was performed on a patient after Wells operation due to obstructive ileus. One death occurred on the 5th postoperative day due to pulmonary embolism. Two recurrences observed 8 months postoperatively, one in a patient after STARR operation and one in a patient after Thiersch technique. The great majority of patients are completely relieved of symptoms.CONCLUSIONS: The application of different modalities in the treatment of rectal prolapse is attributed to the fact that cause, degree of prolapse and symptoms, vary from one patient to another. Successful approach depends on many factors, including the status of a patient's anal sphincter muscle before surgery, whether the prolapse is internal or external and the overall condition of the patient.

DOI10.1007/s10151-011-0747-8
Alternate JournalTech Coloproctol
PubMed ID21887563

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