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.
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References
Leal VM, Regadas FS, Regadas SM, Veras LR (2010) Clinical and functional evaluation of patients with rectocele and mucosal prolapse treated with transanal repair of rectocele and rectal mucosectomy with a single circular stapler (TRREMS). Tech Coloproctol 14:329–335
Schwandner O, Fürst A (2010) Assessing the safety, effectiveness, and quality of life after the STARR procedure for obstructed defecation: results of the German STARR registry. Langenbecks Arch Surg 395:505–513
Pascual Montero JA, Martínez Puente MC, Pascual I et al (2006) Complete rectal prolapse clinical and functional outcome with Delorme’s procedure. Rev Esp Enferm Dig 98:837–843
Lieberth M, Kondylis LA, Reilly JC, Kondylis PD (2009) The Delorme repair for full-thickness rectal prolapse: a retrospective review. Am J Surg 197:418–423
Tou S, Brown SR, Malik AI, Nelson RL (2008) Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 4: CD001758
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The authors declare that there is no actual or potential conflict of interest in relation to this article.
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Michalopoulos, A., Papadopoulos, V.N., Panidis, S. et al. Surgical management of rectal prolapse. Tech Coloproctol 15 (Suppl 1), 25–28 (2011). https://doi.org/10.1007/s10151-011-0747-8
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DOI: https://doi.org/10.1007/s10151-011-0747-8