Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients

Abstract

Background and aims. Optimal treatment for rectal prolapse is controversial. We describe a novel alternative treatment for high-risk patients with complete rectal prolapse.

Patients and methods. Sixteen high-risk patients over 60 years old with complete rectal prolapse were examined. All patients had significant past medical history and were classified as grade III (ASA) surgical risk. The helicoidal suture technique is described. Postoperative parameters evaluated were morbidity, mortality, postoperative symptoms, recurrence and anal incontinence score. Median follow-up was 60 months.

Results. There were no operative complications or mortality in the series; one patient experienced recurrence. Median postoperative anal incontinence score was 6.06 (range 1–30; preoperative 23.6).

Conclusion. This technique provides adequate functional outcomes and could be an effective therapeutic strategy against rectal prolapse in high-risk patients.