Rectal Prolapse and Intussusception

  • Jonathan R. Snyder
  • Ian M. Paquette


Rectal prolapse is a pelvic floor disorder, which causes severe compromise in quality of life. Although many variations have been described in surgical management, the most common approach is an abdominal rectopexy for most patients and a perineal approach in patients who are too frail to permit an abdominal approach. The abdominal operations are generally preferred with some minimally invasive method. Rectal intussusception is a rare condition, often diagnosed during defecography, which is generally medically managed.


Rectal prolapse Intussusception Rectopexy Perineal descent Minimally invasive surgery Defecography 


  1. 1.
    Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE. Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies. J Gastrointest Surg. 2014;18:1059–69.PubMedCrossRefGoogle Scholar
  2. 2.
    Michalopoulos A, Papadopoulos VN, Panidis S, et al. Surgical management of rectal prolapse. Tech Coloproctol. 2011;15(Suppl 1):S25–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Glasgow SC, Birnbaum EH, Kodner IJ, Fleshman JW Jr, Dietz DW. Recurrence and quality of life following perineal proctectomy for rectal prolapse. J Gastrointest Surg. 2008;12:1446–51.PubMedCrossRefGoogle Scholar
  4. 4.
    Steele SR, Varma MG, Prichard D, et al. The evolution of evaluation and management of urinary or fecal incontinence and pelvic organ prolapse. Curr Probl Surg. 2015;52:17–75. 92–136.PubMedCrossRefGoogle Scholar
  5. 5.
    Madoff RD, Mellgren A. One hundred years of rectal prolapse surgery. Dis Colon Rectum. 1999;42:441–50.PubMedCrossRefGoogle Scholar
  6. 6.
    Brown AJ, Anderson JH, McKee RF, Finlay IG. Strategy for selection of type of operation for rectal prolapse based on clinical criteria. Dis Colon Rectum. 2004;47:103–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Varma M, Rafferty J, Buie WD, Standards Practice Task Force of American Society of C, Rectal S. Practice parameters for the management of rectal prolapse. Dis Colon Rectum. 2011;54:1339–46.PubMedCrossRefGoogle Scholar
  8. 8.
    Hayden DM, Wexner SD. Rectal prolapse: current evaluation, management and treatment of a historically recurring disorder. In: Steele S, Maykel J, Champagne B, Orangio G, editors. Complexities in colorectal surgery: decision-making and management. New York: Springer; 2014. p. 173–83.CrossRefGoogle Scholar
  9. 9.
    Raftopoulos Y, Senagore AJ, Di Giuro G, Bergamaschi R, Rectal Prolapse Recurrence Study G. Recurrence rates after abdominal surgery for complete rectal prolapse: a multicenter pooled analysis of 643 individual patient data. Dis Colon Rectum. 2005;48:1200–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Russell MM, Read TE, Roberts PL, et al. Complications after rectal prolapse surgery: does approach matter? Dis Colon Rectum. 2012;55:450–8.PubMedCrossRefGoogle Scholar
  11. 11.
    Senapati A, Gray RG, Middleton LJ, et al. PROSPER: a randomised comparison of surgical treatments for rectal prolapse. Color Dis. 2013;15:858–68.CrossRefGoogle Scholar
  12. 12.
    Barak M, Peted E. Anesthesia and peri-operative care of the elderly patient. Harefuah. 2011;150:153–7. 204.PubMedGoogle Scholar
  13. 13.
    Steinmetz J, Rasmussen LS. The elderly and general anesthesia. Minerva Anestesiol. 2010;76:745–52.PubMedGoogle Scholar
  14. 14.
    Halaszynski TM. Pain management in the elderly and cognitively impaired patient: the role of regional anesthesia and analgesia. Curr Opin Anaesthesiol. 2009;22:594–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Liu LL, Wiener-Kronish JP. Perioperative anesthesia issues in the elderly. Crit Care Clin. 2003;19:641–56.PubMedCrossRefGoogle Scholar
  16. 16.
    Williams JG, Rothenberger DA, Madoff RD, Goldberg SM. Treatment of rectal prolapse in the elderly by perineal rectosigmoidectomy. Dis Colon Rectum. 1992;35:830–4.PubMedCrossRefGoogle Scholar
  17. 17.
    Bibi S, Zutshi M, Gurland B, Hull T. Rectal prolapse in octogenarians: does surgery impact daily activity? Am Surg. 2015;81:371–2.Google Scholar
  18. 18.
    Germain A, Perrenot C, Scherrer ML, et al. Long-term outcome of robotic-assisted laparoscopic rectopexy for full-thickness rectal prolapse in elderly patients. Color Dis. 2014;16:198–202.CrossRefGoogle Scholar
  19. 19.
    Laubert T, Bader FG, Kleemann M, et al. Outcome analysis of elderly patients undergoing laparoscopic resection rectopexy for rectal prolapse. Int J Color Dis. 2012;27:789–95.CrossRefGoogle Scholar
  20. 20.
    Lee SH, Lakhtaria P, Canedo J, Lee YS, Wexner SD. Outcome of laparoscopic rectopexy versus perineal rectosigmoidectomy for full-thickness rectal prolapse in elderly patients. Surg Endosc. 2011;25:2699–702.PubMedCrossRefGoogle Scholar
  21. 21.
    Speakman CT, Madden MV, Nicholls RJ, Kamm MA. Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg. 1991;78:1431–3.PubMedCrossRefGoogle Scholar
  22. 22.
    Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg. 2005;140:63–73.PubMedCrossRefGoogle Scholar
  23. 23.
    Bachoo P, Brazzelli M, Grant A. Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev. 2000;2:CD001758.Google Scholar
  24. 24.
    Bishawi M, Foppa C, Tou S, Bergamaschi R, Rectal Prolapse Recurrence Study G. Recurrence of rectal prolapse following rectopexy: a pooled analysis of 532 patients. Color Dis. 2016;18:779–84.CrossRefGoogle Scholar
  25. 25.
    Loygue J. Surgical treatment of complete prolapse of the rectum by promontory rectopexy. Scalpel (Brux). 1965;118:1081–7.Google Scholar
  26. 26.
    Carter AE. Rectosacral suture fixation for complete rectal prolapse in the elderly, the frail and the demented. Br J Surg. 1983;70:522–3.PubMedCrossRefGoogle Scholar
  27. 27.
    Blatchford GJ, Perry RE, Thorson AG, Christensen MA. Rectopexy without resection for rectal prolapse. Am J Surg. 1989;158:574–6.PubMedCrossRefGoogle Scholar
  28. 28.
    Novell JR, Osborne MJ, Winslet MC, Lewis AA. Prospective randomized trial of Ivalon sponge versus sutured rectopexy for full-thickness rectal prolapse. Br J Surg. 1994;81:904–6.PubMedCrossRefGoogle Scholar
  29. 29.
    Khanna AK, Misra MK, Kumar K. Simplified sutured sacral rectopexy for complete rectal prolapse in adults. Eur J Surg. 1996;162:143–6.PubMedGoogle Scholar
  30. 30.
    Briel JW, Schouten WR, Boerma MO. Long-term results of suture rectopexy in patients with fecal incontinence associated with incomplete rectal prolapse. Dis Colon Rectum. 1997;40:1228–32.PubMedCrossRefGoogle Scholar
  31. 31.
    Loygue J, Huguier M, Malafosse M, Biotois H. Complete prolapse of the rectum. A report on 140 cases treated by rectopexy. Br J Surg. 1971;58:847–8.PubMedCrossRefGoogle Scholar
  32. 32.
    Aitola PT, Hiltunen KM, Matikainen MJ. Functional results of operative treatment of rectal prolapse over an 11-year period: emphasis on transabdominal approach. Dis Colon Rectum. 1999;42:655–60.PubMedCrossRefGoogle Scholar
  33. 33.
    Nunoo-Mensah JW, Efron JE, Young-Fadok TM. Laparoscopic rectopexy. Surg Endosc. 2007;21:325–6.PubMedCrossRefGoogle Scholar
  34. 34.
    Berman IR. Sutureless laparoscopic rectopexy for procidentia. Technique and implications. Dis Colon Rectum. 1992;35:689–93.PubMedCrossRefGoogle Scholar
  35. 35.
    Foppa C, Martinek L, Arnaud JP, Bergamaschi R. Ten-year follow up after laparoscopic suture rectopexy for full-thickness rectal prolapse. Color Dis. 2014;16:809–14.CrossRefGoogle Scholar
  36. 36.
    Kariv Y, Delaney CP, Casillas S, et al. Long-term outcome after laparoscopic and open surgery for rectal prolapse: a case-control study. Surg Endosc. 2006;20:35–42.PubMedCrossRefGoogle Scholar
  37. 37.
    Wilson J, Engledow A, Crosbie J, Arulampalam T, Motson R. Laparoscopic nonresectional suture rectopexy in the management of full-thickness rectal prolapse: substantive retrospective series. Surg Endosc. 2011;25:1062–4.PubMedCrossRefGoogle Scholar
  38. 38.
    Sahoo MR, Thimmegowda AK, Gowda MS. A single centre comparative study of laparoscopic mesh rectopexy versus suture rectopexy. J Minim Access Surg. 2014;10:18–22.PubMedPubMedCentralCrossRefGoogle Scholar
  39. 39.
    Kessler H, Jerby BL, Milsom JW. Successful treatment of rectal prolapse by laparoscopic suture rectopexy. Surg Endosc. 1999;13:858–61.PubMedCrossRefGoogle Scholar
  40. 40.
    Heah SM, Hartley JE, Hurley J, Duthie GS, Monson JR. Laparoscopic suture rectopexy without resection is effective treatment for full-thickness rectal prolapse. Dis Colon Rectum. 2000;43:638–43.PubMedCrossRefGoogle Scholar
  41. 41.
    Boccasanta P, Rosati R, Venturi M, et al. Comparison of laparoscopic rectopexy with open technique in the treatment of complete rectal prolapse: clinical and functional results. Surg Laparosc Endosc. 1998;8:460–5.PubMedCrossRefGoogle Scholar
  42. 42.
    Solomon MJ, Young CJ, Eyers AA, Roberts RA. Randomized clinical trial of laparoscopic versus open abdominal rectopexy for rectal prolapse. Br J Surg. 2002;89:35–9.PubMedCrossRefGoogle Scholar
  43. 43.
    Tou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev. 2015;11:CD001758.Google Scholar
  44. 44.
    Byrne CM, Smith SR, Solomon MJ, Young JM, Eyers AA, Young CJ. Long-term functional outcomes after laparoscopic and open rectopexy for the treatment of rectal prolapse. Dis Colon Rectum. 2008;51:1597–604.PubMedCrossRefGoogle Scholar
  45. 45.
    Purkayastha S, Tekkis P, Athanasiou T, et al. A comparison of open vs. laparoscopic abdominal rectopexy for full-thickness rectal prolapse: a meta-analysis. Dis Colon Rectum. 2005;48:1930–40.PubMedCrossRefPubMedCentralGoogle Scholar
  46. 46.
    Ripstein CB. Procidentia: definitive corrective surgery. Dis Colon Rectum. 1972;15:334–6.PubMedCrossRefPubMedCentralGoogle Scholar
  47. 47.
    Gordon PH, Hoexter B. Complications of the Ripstein procedure. Dis Colon Rectum. 1978;21:277–80.PubMedCrossRefGoogle Scholar
  48. 48.
    Dyrberg DL, Nordentoft T, Rosenstock S. Laparoscopic posterior mesh rectopexy for rectal prolapse is a safe procedure in older patients: a prospective follow-up study. Scand J Surg. 2015;104:227–32.PubMedCrossRefPubMedCentralGoogle Scholar
  49. 49.
    Tjandra JJ, Fazio VW, Church JM, Milsom JW, Oakley JR, Lavery IC. Ripstein procedure is an effective treatment for rectal prolapse without constipation. Dis Colon Rectum. 1993;36:501–7.PubMedCrossRefGoogle Scholar
  50. 50.
    Dulucq JL, Wintringer P, Mahajna A. Clinical and functional outcome of laparoscopic posterior rectopexy (Wells) for full-thickness rectal prolapse. A prospective study. Surg Endosc. 2007;21:2226–30.PubMedCrossRefGoogle Scholar
  51. 51.
    Kupfer CA, Goligher JC. One hundred consecutive cases of complete prolapse of the rectum treated by operation. Br J Surg. 1970;57:482–7.PubMedCrossRefGoogle Scholar
  52. 52.
    Roberts PL, Schoetz DJ Jr, Coller JA, Veidenheimer MC. Ripstein procedure. Lahey Clinic experience: 1963-1985. Arch Surg. 1988;123:554–7.PubMedCrossRefGoogle Scholar
  53. 53.
    McMahan JD, Ripstein CB. Rectal prolapse. An update on the rectal sling procedure. Am Surg. 1987;53:37–40.PubMedGoogle Scholar
  54. 54.
    Wells C. New operation for rectal prolapse. Proc R Soc Med. 1959;52:602–3.PubMedPubMedCentralGoogle Scholar
  55. 55.
    Madbouly KM, Senagore AJ, Delaney CP, Duepree HJ, Brady KM, Fazio VW. Clinically based management of rectal prolapse. Surg Endosc. 2003;17:99–103.PubMedCrossRefGoogle Scholar
  56. 56.
    Winde G, Reers B, Nottberg H, Berns T, Meyer J, Bunte H. Clinical and functional results of abdominal rectopexy with absorbable mesh-graft for treatment of complete rectal prolapse. Eur J Surg. 1993;159:301–5.PubMedGoogle Scholar
  57. 57.
    Galili Y, Rabau M. Comparison of polyglycolic acid and polypropylene mesh for rectopexy in the treatment of rectal prolapse. Eur J Surg. 1997;163:445–8.PubMedGoogle Scholar
  58. 58.
    D'Hoore A, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg. 2004;91:1500–5.PubMedCrossRefGoogle Scholar
  59. 59.
    Wong M, Meurette G, Abet E, Podevin J, Lehur PA. Safety and efficacy of laparoscopic ventral mesh rectopexy for complex rectocele. Color Dis. 2011;13:1019–23.CrossRefGoogle Scholar
  60. 60.
    Maggiori L, Bretagnol F, Ferron M, Panis Y. Laparoscopic ventral rectopexy: a prospective long-term evaluation of functional results and quality of life. Tech Coloproctol. 2013;17:431–6.PubMedCrossRefGoogle Scholar
  61. 61.
    Evans C, Stevenson AR, Sileri P, et al. A multicenter collaboration to assess the safety of laparoscopic ventral rectopexy. Dis Colon Rectum. 2015;58:799–807.PubMedCrossRefGoogle Scholar
  62. 62.
    Consten EC, van Iersel JJ, Verheijen PM, Broeders IA, Wolthuis AM, D'Hoore A. Long-term outcome after laparoscopic ventral mesh rectopexy: an observational study of 919 consecutive patients. Ann Surg. 2015;262:742–8.PubMedCrossRefGoogle Scholar
  63. 63.
    Randall J, Smyth E, McCarthy K, Dixon AR. Outcome of laparoscopic ventral mesh rectopexy for external rectal prolapse. Color Dis. 2014;16:914–9.CrossRefGoogle Scholar
  64. 64.
    D'Hoore A, Penninckx F. Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc. 2006;20:1919–23.PubMedCrossRefGoogle Scholar
  65. 65.
    Boons P, Collinson R, Cunningham C, Lindsey I. Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation. Color Dis. 2010;12:526–32.CrossRefGoogle Scholar
  66. 66.
    Sileri P, Franceschilli L, de Luca E, et al. Laparoscopic ventral rectopexy for internal rectal prolapse using biological mesh: postoperative and short-term functional results. J Gastrointest Surg. 2012;16:622–8.PubMedCrossRefGoogle Scholar
  67. 67.
    Bloemendaal AL, Mishra A, Nicholson GA, et al. Laparoscopic rectopexy is feasible and safe in the emergency admission setting. Color Dis. 2015;17:O198–201.CrossRefGoogle Scholar
  68. 68.
    Owais AE, Sumrien H, Mabey K, McCarthy K, Greenslade GL, Dixon AR. Laparoscopic ventral mesh rectopexy in male patients with internal or external rectal prolapse. Color Dis. 2014;16:995–1000.CrossRefGoogle Scholar
  69. 69.
    Faucheron JL, Trilling B, Girard E, Sage PY, Barbois S, Reche F. Anterior rectopexy for full-thickness rectal prolapse: technical and functional results. World J Gastroenterol. 2015;21:5049–55.PubMedPubMedCentralCrossRefGoogle Scholar
  70. 70.
    Formijne Jonkers HA, Maya A, Draaisma WA, et al. Laparoscopic resection rectopexy versus laparoscopic ventral rectopexy for complete rectal prolapse. Tech Coloproctol. 2014;18:641–6.PubMedCrossRefGoogle Scholar
  71. 71.
    Smart NJ, Pathak S, Boorman P, Daniels IR. Synthetic or biological mesh use in laparoscopic ventral mesh rectopexy—a systematic review. Color Dis. 2013;15:650–4.CrossRefGoogle Scholar
  72. 72.
    Ogilvie JW Jr, Stevenson AR, Powar M. Case-matched series of a non-cross-linked biologic versus non-absorbable mesh in laparoscopic ventral rectopexy. Int J Color Dis. 2014;29:1477–83.CrossRefGoogle Scholar
  73. 73.
    Wahed S, Ahmad M, Mohiuddin K, Katory M, Mercer-Jones M. Short-term results for laparoscopic ventral rectopexy using biological mesh for pelvic organ prolapse. Color Dis. 2012;14:1242–7.CrossRefGoogle Scholar
  74. 74.
    Frykman HM. Abdominal proctopexy and primary sigmoid resection for rectal procidentia. Am J Surg. 1955;90:780–9.PubMedCrossRefGoogle Scholar
  75. 75.
    Frykman HM, Goldberg SM. The surgical treatment of rectal procidentia. Surg Gynecol Obstet. 1969;129:1225–30.PubMedGoogle Scholar
  76. 76.
    Delaney CP. Laparoscopic management of rectal prolapse. J Gastrointest Surg. 2007;11:150–2.PubMedCrossRefGoogle Scholar
  77. 77.
    Schultz I, Mellgren A, Oberg M, Dolk A, Holmstrom B. Whole gut transit is prolonged after Ripstein rectopexy. Eur J Surg. 1999;165:242–7.PubMedCrossRefGoogle Scholar
  78. 78.
    Laubert T, Kleemann M, Schorcht A, et al. Laparoscopic resection rectopexy for rectal prolapse: a single-center study during 16 years. Surg Endosc. 2010;24:2401–6.PubMedCrossRefGoogle Scholar
  79. 79.
    Ashari LH, Lumley JW, Stevenson AR, Stitz RW. Laparoscopically-assisted resection rectopexy for rectal prolapse: ten years’ experience. Dis Colon Rectum. 2005;48:982–7.PubMedCrossRefGoogle Scholar
  80. 80.
    Watts AM, Thompson MR. Evaluation of Delorme’s procedure as a treatment for full-thickness rectal prolapse. Br J Surg. 2000;87:218–22.PubMedCrossRefGoogle Scholar
  81. 81.
    Husa A, Sainio P, von Smitten K. Abdominal rectopexy and sigmoid resection (Frykman-Goldberg operation) for rectal prolapse. Acta Chir Scand. 1988;154:221–4.PubMedGoogle Scholar
  82. 82.
    Huber FT, Stein H, Siewert JR. Functional results after treatment of rectal prolapse with rectopexy and sigmoid resection. World J Surg. 1995;19:138–43. discussion 143.PubMedCrossRefGoogle Scholar
  83. 83.
    Luukkonen P, Mikkonen U, Jarvinen H. Abdominal rectopexy with sigmoidectomy vs. rectopexy alone for rectal prolapse: a prospective, randomized study. Int J Color Dis. 1992;7:219–22.CrossRefGoogle Scholar
  84. 84.
    Sayfan J, Pinho M, Alexander-Williams J, Keighley MR. Sutured posterior abdominal rectopexy with sigmoidectomy compared with Marlex rectopexy for rectal prolapse. Br J Surg. 1990;77:143–5.PubMedCrossRefGoogle Scholar
  85. 85.
    Agachan F, Reissman P, Pfeifer J, Weiss EG, Nogueras JJ, Wexner SD. Comparison of three perineal procedures for the treatment of rectal prolapse. South Med J. 1997;90(9):925–32.PubMedCrossRefGoogle Scholar
  86. 86.
    Elagili F, Gurland B, Liu X, Church J, Ozuner G. Comparing perineal repairs for rectal prolapse: Delorme versus Altemeier. Tech Coloproctol. 2015;19:521–5.PubMedCrossRefGoogle Scholar
  87. 87.
    Altemeier WA, Culbertson WR, Schowengerdt C, Hunt J. Nineteen years’ experience with the one-stage perineal repair of rectal prolapse. Ann Surg. 1971;173:993–1006.PubMedPubMedCentralCrossRefGoogle Scholar
  88. 88.
    Altemeier WA, Culbertson WR, Alexander JW. One-stage perineal repair of rectal prolapse. Twelve years’ experience. Arch Surg. 1964;89:6–16.PubMedCrossRefGoogle Scholar
  89. 89.
    Altemeier WA, Giuseffi J, Hoxworth P. Treatment of extensive prolapse of the rectum in aged or debilitated patients. AMA Arch Surg. 1952;65:72–80.PubMedCrossRefGoogle Scholar
  90. 90.
    Towliat SM, Mehrvarz S, Mohebbi HA, Sate Bigdeli A. Outcomes of rectal prolapse using the Altemeier procedure. Iran Red Crescent Med J. 2013;15:620–1.PubMedPubMedCentralCrossRefGoogle Scholar
  91. 91.
    Kimmins MH, Evetts BK, Isler J, Billingham R. The Altemeier repair: outpatient treatment of rectal prolapse. Dis Colon Rectum. 2001;44:565–70.PubMedCrossRefGoogle Scholar
  92. 92.
    Gravante G, Venditti D. The Altemeier procedure: new technologies for an old technique. Dis Colon Rectum. 2006;49:1801–2.PubMedCrossRefGoogle Scholar
  93. 93.
    Gramkow CS, Lanng C, Fischer A. Altemeier repair of rectal prolapse. Ugeskr Laeger. 2005;167:286–9.PubMedGoogle Scholar
  94. 94.
    Gopal KA, Amshel AL, Shonberg IL, Eftaiha M. Rectal procidentia in elderly and debilitated patients. Experience with the Altemeier procedure. Dis Colon Rectum. 1984;27:376–81.PubMedCrossRefGoogle Scholar
  95. 95.
    Cirocco WC. The Altemeier procedure for rectal prolapse: an operation for all ages. Dis Colon Rectum. 2010;53:1618–23.PubMedCrossRefGoogle Scholar
  96. 96.
    Bennett BH, Geelhoed GW. A stapler modification of the Altemeier procedure for rectal prolapse. Experimental and clinical evaluation. Am Surg. 1985;51:116–20.PubMedGoogle Scholar
  97. 97.
    Carditello A, Milone A, Stilo F, Mollo F, Basile M. Surgical treatment of rectal prolapse with transanal resection according to Altemeier. Experience and results. Chir Ital. 2003;55:687–92.PubMedGoogle Scholar
  98. 98.
    Ding JH, Canedo J, Lee SH, Kalaskar SN, Rosen L, Wexner SD. Perineal rectosigmoidectomy for primary and recurrent rectal prolapse: are the results comparable the second time? Dis Colon Rectum. 2012;55:666–70.PubMedCrossRefGoogle Scholar
  99. 99.
    Steele SR, Goetz LH, Minami S, Madoff RD, Mellgren AF, Parker SC. Management of recurrent rectal prolapse: surgical approach influences outcome. Dis Colon Rectum. 2006;49:440–5.PubMedCrossRefGoogle Scholar
  100. 100.
    Chun SW, Pikarsky AJ, You SY, et al. Perineal rectosigmoidectomy for rectal prolapse: role of levatorplasty. Tech Coloproctol. 2004;8:3–8. discussion 8–9.PubMedCrossRefGoogle Scholar
  101. 101.
    Habr-Gama A, Jacob CE, Jorge JM, et al. Rectal procidentia treatment by perineal rectosigmoidectomy combined with levator ani repair. Hepato-Gastroenterology. 2006;53:213–7.PubMedGoogle Scholar
  102. 102.
    Prasad ML, Pearl RK, Abcarian H, Orsay CP, Nelson RL. Perineal proctectomy, posterior rectopexy, and postanal levator repair for the treatment of rectal prolapse. Dis Colon Rectum. 1986;29:547–52.PubMedCrossRefGoogle Scholar
  103. 103.
    Baig MK, Galliano D, Larach JA, Weiss EG, Wexner SD, Nogueras JJ. Pouch perineal rectosigmoidectomy: a case report. Surg Innov. 2005;12(4):373–5.PubMedCrossRefGoogle Scholar
  104. 104.
    Yoshioka K1, Ogunbiyi OA, Keighley MR. Pouch perineal rectosigmoidectomy gives better functional results than conventional rectosigmoidectomy in elderly patients with rectal prolapse. Br J Surg. 1998;85(11):1525–6.PubMedCrossRefGoogle Scholar
  105. 105.
    Cirocco WC. Explaining the undulating outcomes of perineal rectosigmoidectomy (Altemeier procedure) for rectal prolapse over the last century: technique matters! Tech Coloproctol. 2014;18:979–80.PubMedCrossRefGoogle Scholar
  106. 106.
    Fazeli MS, Kazemeini AR, Keshvari A, Keramati MR. Delorme’s procedure: an effective treatment for a full-thickness rectal prolapse in young patients. Ann Coloproctol. 2013;29:60–5.PubMedPubMedCentralCrossRefGoogle Scholar
  107. 107.
    Lechaux JP, Johann M. Delorme’s operation in the treatment of rectal prolapse. Presse Med. 1984;13:219–20.PubMedGoogle Scholar
  108. 108.
    Lieberth M, Kondylis LA, Reilly JC, Kondylis PD. The Delorme repair for full-thickness rectal prolapse: a retrospective review. Am J Surg. 2009;197:418–23.PubMedCrossRefGoogle Scholar
  109. 109.
    Marchal F, Bresler L, Ayav A, et al. Long-term results of Delorme’s procedure and Orr-Loygue rectopexy to treat complete rectal prolapse. Dis Colon Rectum. 2005;48:1785–90.PubMedCrossRefGoogle Scholar
  110. 110.
    Watkins BP, Landercasper J, Belzer GE, et al. Long-term follow-up of the modified Delorme procedure for rectal prolapse. Arch Surg. 2003;138:498–502. discussion 502–493.PubMedCrossRefGoogle Scholar
  111. 111.
    Tobin SA, Scott IH. Delorme operation for rectal prolapse. Br J Surg. 1994;81:1681–4.PubMedCrossRefGoogle Scholar
  112. 112.
    Pescatori M, Interisano A, Stolfi VM, Zoffoli M. Delorme’s operation and sphincteroplasty for rectal prolapse and fecal incontinence. Int J Color Dis. 1998;13:223–7.CrossRefGoogle Scholar
  113. 113.
    Chen CW, Zhang G, Yan CH, Wang CF. Delorme procedure for full-thickness rectal prolapse: a report of 25 cases. Zhonghua Wei Chang Wai Ke Za Zhi. 2012;15(3):285–7.PubMedGoogle Scholar
  114. 114.
    Parikh V. Re: The Delorme procedure: a useful operation for complicated rectal prolapse in the elderly. Am Surg. 1997;63:845.PubMedGoogle Scholar
  115. 115.
    Milito G, Cadeddu F, Selvaggio I, Grande M. The Delorme repair for full-thickness rectal prolapse: a retrospective review. Am J Surg. 2010;199:581–2.PubMedCrossRefGoogle Scholar
  116. 116.
    Liberman H, Hughes C, Dippolito A. Evaluation and outcome of the Delorme procedure in the treatment of rectal outlet obstruction. Dis Colon Rectum. 2000;43:188–92.PubMedCrossRefGoogle Scholar
  117. 117.
    Kling KM, Rongione AJ, Evans B, McFadden DW. The Delorme procedure: a useful operation for complicated rectal prolapse in the elderly. Am Surg. 1996;62:857–60.PubMedGoogle Scholar
  118. 118.
    Houry S. Delorme procedure for rectal prolapse. J Chir (Paris). 2000;137:338–41.Google Scholar
  119. 119.
    De Nardi P, Osman N, Viola M, Staudacher C. Ischemic proctitis following Delorme procedure for external rectal prolapse. Tech Coloproctol. 2006;10:253–5.PubMedCrossRefGoogle Scholar
  120. 120.
    Turell R. The Thiersch operation for rectal prolapse and anal incontinence. N Y State J Med. 1954;54:791–5.PubMedGoogle Scholar
  121. 121.
    Gabriel WB. The Thiersch operation for rectal prolapse. Dis Colon Rectum. 1964;7:383–5.PubMedCrossRefGoogle Scholar
  122. 122.
    Poole GV Jr, Pennell TC, Myers RT, Hightower F. Modified Thiersch operation for rectal prolapse. Technique and results. Am Surg. 1985;51:226–9.PubMedGoogle Scholar
  123. 123.
    Terrell RV. Experience with Thiersch wire in rectal prolapse. AORN J. 1968;8:72–6.PubMedCrossRefGoogle Scholar
  124. 124.
    Abe T, Hachiro Y, Kunimoto M. Combined aluminum potassium sulfate and tannic acid sclerosing therapy and anal encirclement using an elastic artificial ligament for rectal prolapse. Dis Colon Rectum. 2014;57:653–7.PubMedCrossRefGoogle Scholar
  125. 125.
    Burke RM, Jackman RJ. A modified Thiersch operation in treatment of complete rectal prolapse. Dis Colon Rectum. 1959;2:555–61.PubMedCrossRefGoogle Scholar
  126. 126.
    Haskell B, Rovner H. A modified Thiersch operation for complete rectal prolapse using a Teflon prosthesis. Dis Colon Rectum. 1963;6:192–5.PubMedCrossRefGoogle Scholar
  127. 127.
    Khanduja KS, Hardy TG Jr, Aguilar PS, et al. A new silicone-prosthesis in the modified Thiersch operation. Dis Colon Rectum. 1988;31:380–3.PubMedCrossRefGoogle Scholar
  128. 128.
    Larach SW, Vazquez B. Modified Thiersch procedure with silastic mesh implant: a simple solution for fecal incontinence and severe prolapse. South Med J. 1986;79:307–9.PubMedCrossRefGoogle Scholar
  129. 129.
    Sainio AP, Halme LE, Husa AI. Anal encirclement with polypropylene mesh for rectal prolapse and incontinence. Dis Colon Rectum. 1991;34:905–8.PubMedCrossRefGoogle Scholar
  130. 130.
    Schwartz A, Marin R. Use of polyethylene in the Thiersch operation. Dis Colon Rectum. 1962;5:302–5.PubMedCrossRefGoogle Scholar
  131. 131.
    Stimpel H, Pedersen T. A modified Thiersch surgical method with polypropylene gauze (Marlex) in rectal prolapse. Ugeskr Laeger. 1988;150:1471–3.PubMedGoogle Scholar
  132. 132.
    Swerdlow H. The Encircler. A new instrument for the performance of the Thiersch procedure for rectal procidentia. Dis Colon Rectum. 1986;29:145–7.PubMedCrossRefGoogle Scholar
  133. 133.
    Thorlakson RH. A modification of the Thiersch procedure for rectal prolapse using polyester tape. Dis Colon Rectum. 1982;25:57–8.PubMedCrossRefGoogle Scholar
  134. 134.
    Zutshi M, Hull T, Gurland B. Anal encirclement with sphincter repair (AESR procedure) using a biological graft for anal sphincter damage involving the entire circumference. Color Dis. 2012;14:592–5.CrossRefGoogle Scholar
  135. 135.
    Earnshaw JJ, Hopkinson BR. Late results of silicone rubber perianal suture for rectal prolapse. Dis Colon Rectum. 1987;30:86–8.PubMedCrossRefGoogle Scholar
  136. 136.
    Hunt TM, Fraser IA, Maybury NK. Treatment of rectal prolapse by sphincteric support using silastic rods. Br J Surg. 1985;72:491–2.PubMedCrossRefGoogle Scholar
  137. 137.
    Jackaman FR, Francis JN, Hopkinson BR. Silicone rubber band treatment of rectal prolapse. Ann R Coll Surg Engl. 1980;62:386–7.PubMedPubMedCentralGoogle Scholar
  138. 138.
    Vongsangnak V, Varma JS, Smith AN. Reappraisal of Thiersch’s operation for complete rectal prolapse. J R Coll Surg Edinb. 1985;30:185–7.PubMedGoogle Scholar
  139. 139.
    Calata JF, Pai A, Marecik S, Prasad LM, Park JJ. Perineal proctectomy with bio-Thiersch procedure for complete rectal prolapse with fecal incontinence. Dis Colon Rectum. 2015;58:e45.PubMedCrossRefGoogle Scholar
  140. 140.
    Hool GR, Hull TL, Fazio VW. Surgical treatment of recurrent complete rectal prolapse: a thirty-year experience. Dis Colon Rectum. 1997;40:270–2.PubMedCrossRefGoogle Scholar
  141. 141.
    Hotouras A, Ribas Y, Zakeri S, et al. A systematic review of the literature on the surgical management of recurrent rectal prolapse. Color Dis. 2015;17:657–64.CrossRefGoogle Scholar
  142. 142.
    Festen S, van Geloven AA, D'Hoore A, Lindsey I, Gerhards MF. Controversy in the treatment of symptomatic internal rectal prolapse: suspension or resection? Surg Endosc. 2011;25:2000–3.PubMedCrossRefGoogle Scholar
  143. 143.
    Evans C, Ong E, Jones OM, Cunningham C, Lindsey I. Laparoscopic ventral rectopexy is effective for solitary rectal ulcer syndrome when associated with rectal prolapse. Color Dis. 2014;16:O112–6.CrossRefGoogle Scholar
  144. 144.
    Gosselink MP, Joshi H, Adusumilli S, et al. Laparoscopic ventral rectopexy for faecal incontinence: equivalent benefit is seen in internal and external rectal prolapse. J Gastrointest Surg. 2015;19:558–63.PubMedCrossRefGoogle Scholar
  145. 145.
    Franceschilli L, Varvaras D, Capuano I, et al. Laparoscopic ventral rectopexy using biologic mesh for the treatment of obstructed defaecation syndrome and/or faecal incontinence in patients with internal rectal prolapse: a critical appraisal of the first 100 cases. Tech Coloproctol. 2015;19:209–19.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Surgery, Division of Colon and Rectal SurgeryUniversity of Cincinnati Medical CenterCincinnatiUSA
  2. 2.Division of Colon and Rectal SurgeryUniversity of Cincinnati College of Medicine, Christ Hospital Center for Pelvic Floor DisordersCincinnatiUSA

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