Skip to main content
SpringerLink
Log in

Toward a selection of the most appropriate procedure in the treatment of complete rectal prolapse

  • Published:
Diseases of the Colon & Rectum

Abstract

Defecographic evaluation was performed in 30 patients with rectal prolapse to assess the effect of posterior rectopexy on rectal function and to arrive at a selection of the best procedure. Preoperative defecography revealed rectal intussusception in all patients. Postoperative control studies showed adequate rectal fixation to the anterior sacral surface. Intussusception no longer occurred. Rectal stenosis due to the surgical procedure was absent. The described technique of posterior rectopexy eliminates the prolapse mechanism without creating new disorders and is therefore a rational procedure. Advocation of new procedures should also be based on results of colorectal tests that assess the effect of the procedures on rectal function.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Smith LE. Establishment of a laboratory for the anus, rectum and colon. Washington, DC: The George Washington University, 1986.

    Google Scholar 

  2. Brodén B, Snellman B. Procidentia of the rectum studies with cineradiography: a contribution to the discussion of causative mechanisms. Dis Colon Rectum 1968;11:330–47.

    PubMed  Google Scholar 

  3. Carter AE. Rectosacral suture fixation for complete rectal prolapse in the elderly, the frail and the demented. Br J Surg 1983;70:522–3.

    PubMed  CAS  Google Scholar 

  4. Hilsabeck JR. Transabdominal posterior rectopexy using an inverted T of synthetic material. Arch Surg 1981;116:41–4.

    PubMed  CAS  Google Scholar 

  5. Keighley MR, Fielding JW, Alexander-Williams J. Results of Marlex mesh abdominal rectopexy for rectal prolapse in 100 consecutive patients. Br J Surg 1983;70:229–32.

    PubMed  CAS  Google Scholar 

  6. Kupfer CA, Goligher JC. One hundred consecutive cases of complete prolapse of the rectum treated by operation. Br J Surg 1970;57:481–7.

    Google Scholar 

  7. Morgan CN, Porter NH, Klugman DJ. Ivalon (Polyvinyl alcohol) sponge in the repair of complete rectal prolapse. Br J Surg 1972;59:841–6.

    PubMed  CAS  Google Scholar 

  8. Gordon PH, Hoexter B. Complications of the Ripstein procedure. Dis Colon Rectum 1978;21:277–80.

    PubMed  CAS  Google Scholar 

  9. Lescher TJ, Corman ML, Coller JA, Veidenheimer MC. Management of late complications of Teflon® sling repair for rectal prolapse. Dis Colon Rectum 1979;22:445–7.

    PubMed  CAS  Google Scholar 

  10. Watts JD, Rothenberger DA, Buls JG, Goldberg SM, Nivatvongs S. The management of procidentia: 30 years' experience. Dis Colon Rectum 1985;28:96–102.

    Article  PubMed  CAS  Google Scholar 

  11. Kuijpers HC, Bleijenberg G, de Morree H. The spastic pelvic floor syndrome. Large bowel outlet obstruction caused by pelvic floor dysfunction, a radiological study. Int J Colorect Dis 1986;1:44–8.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Academic Hospital Nijmegen, Postbus 9101, 6500 HB, Nijmegen, The Netherlands

    J. H. C. Kuijpers M.D. & H. de Morree M.D.

Authors
  1. J. H. C. Kuijpers M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. de Morree M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, Washington, D.C., April 5 to 10, 1987.

About this article

Cite this article

Kuijpers, J.H.C., de Morree, H. Toward a selection of the most appropriate procedure in the treatment of complete rectal prolapse. Dis Colon Rectum 31, 355–357 (1988). https://doi.org/10.1007/BF02564883

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02564883

Key words

Search

Navigation