Abstract
The aim of this study was to examine the functional outcome of transsacral rectopexy performed with Dexon mesh for recurrent complete rectal prolapse. Anorectal function was assessed by anorectal manometry and defecography, before and from 1 year after surgery in five patients who were followed up for 1–3 years. The fecal incontinence score recovered from a preoperative mean score of 3.8 to a postoperative mean score of 1.2, and constipation was improved in four patients (80%). The straining anorectal angle (S-ARA), measured by defecography, improved from a preoperative value of 120.6°±6.9° to a postoperative value of 98.5°±3.5° (P<0.05), and the perineal descent (PD) improved from a preoperative value of 16.2±2.5 cm to a postoperative value of 8.1±1.3 cm (P<0.05). The maximal resting pressure (MRP) increased from a preoperative value of 20.5±3.7 cmH2O to a postoperative value of 40.5±4.8 cmH2O (P<0.05). These findings indicate that transsacral rectopexy with Dexon mesh can achieve good control of recurrent complete rectal prolapse.
Similar content being viewed by others
References
Keighley MR, Matheson DM, Duncan MM (1981) Results of treatment for rectal prolapse and fecal incontinence. Dis Colon Rectum 24:449–453
Labow S, Rubin RJ, Hoexter B (1980) Perineal repair of rectal procidentia with an elastic fabric sling. Dis Colon Rectum 23:467–469
Altemeier WA, Culbertson WR, Schwogengerdt C (1971) Nineteen years' experience with the one-stage perineal repair of rectal prolapse. Ann Surg 173:993–1006
Christiansen J, Kirkegaard P (1981) Delorme's operation for complete rectal prolapse. Br J Surg 68:537–538
Ripstein CB (1965) Surgical care of massive rectal prolapse. Dis Colon Rectum 8:34–38
Wells C (1959) New operation for rectal prolapse. J R Soc Med 52:602–603
Moodie RL (1923) Paleopathology An introduction to the study of ancient evidence of disease. University of Illinois Press, Urbana; pp 400–401, plate 78
Pescatori M, Anastasio G, Bottini C, Mentasti A (1992) New grading and scoring for anal incontinence. Dis Colon Rectum 35:482–487
Broden B, Snellman B (1988) Procidentia of the rectum studied with cinedefecography. Dis Colon Rectum 11:330–347
Pescatori M, Parks AG (1984) The sphincteric and sensory components of preserved continence after ileoanal reservoir. Surg Gynecol Obstet 158:517–521
Iwadare J, Sumikoshi Y, Ono R (1989) Etiology and treatment of rectal prolapse (in Japanese with English abstract). J Jpn Soc Coloproctol 42:981–986
Joe JT, Victor WF, James MC (1993) Ripstein procedure is an effective treatment for rectal prolapse without constipation. Dis Colon Rectum 36:501–507
Graham RH, Tracy LH, Victor WF (1997) Surgical treatment of recurrent complete rectal prolapse. Dis Colon Rectum 40:270–272
Ihre T, Sellgson U (1975) Intussusception of the rectum-internal procidencia: treatment and results in 90 patients. Dis Colon Rectum 18:391–396
Parks AG, Swash M, Urich H (1977) Sphincter denervation in anorectal incontinence and rectal prolapse. Gut 18:656–665
Suzuki H (1982) Pathophysiology of rectal prolapse. J Jpn Soc Coloproctol 35:459–462
Holmstrom B, Broden G, Dolk A (1986) Results of the Ripstein operation in the treatment of rectal prolapse and internal rectal procidentia. Dis Colon Rectum 29:845–848
Roberts PL, Schoetz DJ, Coller JA (1988) Ripstein procedure: Lahey Clinic experience: 1963–1985. Arch Surg 123:554–557
McMahon JD, Ripstein CB (1987) Rectal prolapse: an update on the rectal sling procedure. Am Surg 53:37–40
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Araki, Y., Isomoto, H., Tsuzi, Y. et al. Transsacral rectopexy for recurrent complete rectal prolapse. Surg Today 29, 970–972 (1999). https://doi.org/10.1007/BF02482800
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02482800