Abstract
Nonresective fixation procedures are superior to resections in the management of rectal procidentia. A new operative procedure of retroperitoneal fixation of the redundant rectum and sigmoid after mobilization of the rectum up to the pelvic floor is described. The procedure was performed in 32 patients. In a follow-up ranging up to 11 years, only one reccurrence of mucosal prolapse was seen. Rectal, bladder, and sexual functions were normal. There was a low wound infection rate and no mortality. The procedure appears superior to conventional operations for rectal procidentia and, at the same time, avoids usage of prosthetic materials for fixation with their known risk of complications.
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References
Keighley MR. Rectal prolapse and its management. In: Taylor I, ed. Progress in surgery. Vol. 1. New York: Churchill Livingstone, 1985:114–132.
Goligher JC. Surgery of the anus, rectum and colon, 5th ed. London: Bailliere Tindall, 1984:256.
Satya P, Ananthakrishnan N, Ramakrishnan K. Retroperitonealisation of the sigmoid colon for complete rectal prolapse in adults: a preliminary communication of a new operative technique. Am J Proctology Gastroenterol Colon Rectal Surg 1984;16:21–5.
Davidian UA, Thomas CG. Transrectal repair of rectal prolapse. Am J Surg 1972;123:231–5.
Porter NH. Collective results of operations for rectal prolapse. Proc R Soc Med 1962;55:1087–91.
Altemeier WA, Culbertson WR, Schowengerdt C, Hunt J. Nineteen years experience with the one stage perineal repair of rectal prolapse. Ann Surg 1971;173:993–1001.
Muir EG. Treatment of complete rectal prolapse in the adult. Proc R Soc Med 1962;55:1086–7.
Lahaut J. Cure radicale des grands prolapsus du rectum. J Chir 1956;72:565–9.
Spinka J. Complete rectal prolapse: comments on Lahaut's abdominal fixation suspension operation. Int Surg 1971;55:380–8.
Misra MK, Bhatnagar BN. A complication of Lahaut's operation for prolapse of rectum. Int Surg 1979;64:73–4.
Goligher JC. Treatment of complete prolapse of the rectum by Roscoe Graham operation. Br J Surg 1958;45:323–6.
Wells C. “Polivinyl alcohol” sponge prosthesis for rectal prolapse. Proc R Soc Med 1962;55:1083–4.
Morgan CN. Prolapse of the rectum: use of Ivalon sponge. Proc R Soc Med 1962;55:1084–5.
Ripstein CB. simple effective operation for rectal prolapse. Posgrad Med J 1969;45:201–4.
Penfold JC, Hanley PR. Experiences of Ivalon sponge implant for complete rectal prolapse at St. Marks Hospital 1960–70. Br J Surg 1972;59:846–8.
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Ananthakrishnan, N., Parkash, S. & Sridhard, K. Retroperitoneal colopexy for adult rectal procidentia. Dis Colon Rectum 31, 104–106 (1988). https://doi.org/10.1007/BF02562638
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DOI: https://doi.org/10.1007/BF02562638