Abstract
From 1953 to 1982, 257 patients with complete rectal prolapse were operated upon. To the procedure described by Orr, we have added mobilization of the rectum prior to its suspension and eliminated the pouch of Douglas, and nylon strips have been used for suspension in most patients. There were 57 male and 200 female patients. Ages ranged from 11 to 90 years. Sixty-one patients had already undergone surgery for rectal prolapse with another procedure and prolapse had recurred. The postoperative course was uneventful in 96 per cent of patients. Two patients, aged 79 to 83 years, died of cardiac failure. Follow-up of 115 patients ranged from five to 23 years. Recurrent rectal prolapse was observed in 4,3 per cent of the patients in whom nylon strips were used to suspend the rectum. In 136 patients anal incontinence was associated with rectal prolapse. Normal continence was restored in 84.1 per cent of 107 patients with rectopexy alone and in 64.2 per cent of 14 patients who underwent rectopexy and anal sphincter repair. It is concluded that rectopexy to the promotory with nylon strips after mobilization of the rectum is a safe and efficient procedure for the treatment of rectal prolapse.
Similar content being viewed by others
References
Goligher JC. The treatment of complete prolapse of the rectum by the Roscoe Graham operation. Br J Surg 1958; 45:323–33.
Graham RR. Operative repair of massive rectal prolapse. Ann Surg 1942; 115:1007–14.
Hawley P. Procidentia of the rectum: ivalon sponge repair. Dis Colon Rectum 1975; 18:461–3.
Hilsabeck JR. Transabdominal posterior rectopexy using an inverted T of synthetic material. Arch Surg 1981; 116:41–4
Launer DP, Fazio VW, Weakley FL, Turnbull RB Jr, Jagelman DG, Lavery IC. The Ripstein procedure: a 16-year experience. Dis Colon Rectum 1982; 25:41–5.
Morgan CN, Porter NH, Klugman DJ. Ivalon sponge in the repair of complete rectal prolapse. Br J Surg 1972; 59:841–6.
Ripstein CB. Treatment of massive rectal prolapse. Am J Surg 1952; 83:68–71.
Wells C. New operation for prolapse of rectum. Proc R Soc Med 1959; 52:602–3.
Wyatt AP. Perineal rectopexy for perineal prolapse. Br J Surg 1981; 68:717–9.
Orr TG. A suspension operation for prolapse of the rectum. Ann Surg 1947; 126:833–40.
Loygue J, Cerbonnet G. Traitement chirurgical du prolapsus total du rectum par la rectopexie suivant le procédé de Orr. Mem Acad Chir 1957; 83:325–9.
Loygue J, Huguier M, Malafosse M, Biotois H. Complete prolapse of the rectum. Br J Surg 1971; 58:847–8.
Pickrell K, Georgiade N, Maguire C, Crawford H. Correction of rectal incontinence: transplantation of the gracilis muscle to construct a rectal sphincter. Am J Surg 1955; 90:721–6.
Keighley MR, Matheson DM. Results of treatment for rectal prolapse and fecal incontinence. Dis Colon Rectum 1981; 24:449–53.
Author information
Authors and Affiliations
Additional information
Read at the meeting of the American Society of Colon and Rectal Surgeons, Boston, Massachusetts, June 5 to 9, 1983.
About this article
Cite this article
Loygue, J., Nordlinger, B., Cunci, O. et al. Rectopexy to the promontory for the treatment of rectal prolapse. Dis Colon Rectum 27, 356–359 (1984). https://doi.org/10.1007/BF02552998
Issue Date:
DOI: https://doi.org/10.1007/BF02552998