TITLE

Rectal Prolapse: A Search for the "Best" Operation

AUTHOR(S)
Azimuddin, Khawaja; Khubchandani, Indru T.; Rosen, Lester; Stasik, John J.; Riether, Robert D.; Reed III, James F.
PUB. DATE
July 2001
SOURCE
American Surgeon;Jul2001, Vol. 67 Issue 7, p622
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
There is a lack of consensus regarding the optimal operative treatment for full-thickness rectal prolapse. We describe our experience in the management of procidentia and evaluate our current practice for improvement of results. The medical records of patients undergoing surgery for rectal prolapse between 1989 to 1999 were retrospectively reviewed. A total of 36 perineal proctosig-moidectomies (PPSs) and 29 abdominal procedures [17 anterior resections (ARs) and 12 Ripstein procedures (RPs)] were performed during the 10-year period. Patients undergoing PPS were significantly older and had more comorbidities. Mean operating time and length of hospital stay were shorter for the PPS group. Early and late postoperative complication rates were also significantly lower in the PPS group. Six patients (16%) in the PPS group developed recurrence at a mean follow-up of 50 months. Operation under general anesthesia or removal of a longer segment of prolapsed bowel did not reduce recurrence after PPS. No full-thickness recurrence was noted after AR or RP. We conclude that abdominal procedures (AR and RP) have the lowest recurrence but at a significantly higher cost in terms of complications. PPS is a valuable option in selected patients and can be performed with minimal morbidity and a relatively low recurrence rate.
ACCESSION #
4789833

 

Related Articles

  • Complicated incarcerated rectal prolapse: A surgical challenge in an elderly patient on antiplatelet agents. Berney, C. R. // Australasian Medical Journal;Oct2010, Vol. 3 Issue 10, p691 

    Complete rectal prolapse is a distressing condition that represents full-thickness protrusion of the rectum through the anal sphincters mechanism. Incarceration and strangulation of an acute rectal prolapse is a rather unusual entity that represents a surgical emergency. We report a rare case of...

  • Experimental Comparison of Meshes for Rectal Prolapse Surgery. Caliskan, C.; Denizli, A.; Makay, O.; Firat, O.; Tanyalcin, T.; Alkanat, M.; Korkut, M. A. // European Surgical Research;2009, Vol. 43 Issue 3, p310 

    Aim: The aim of this experimental study is to investigate the foreign body tissue created by the meshes that are used for rectopexy. Method: Sixty rats were divided equally into 5 groups. Four mesh types (Surgipro®, Ivalon®, Gore-Tex® and Vypro®) were implanted into the...

  • mesosigmoidopexy.  // Taber's Cyclopedic Medical Dictionary;2005, p1347 

    A definition of the term "mesosigmoidopexy" is presented. It refers to the surgical fixation of the mesosigmoid to treat prolapse of the rectum. The definition is from the "Taber's Cyclopedic Medical Dictionary," published by F.A. Davis Co.

  • Is there a post-PPH syndrome? Khubchandani, I.; Fealk, M. H.; Reed III, J. F. // Techniques in Coloproctology;Jun2009, Vol. 13 Issue 2, p141 

    Despite early studies reporting significant decreases in postoperative pain and morbidity with the procedure for prolapse and hemorrhoids (PPH) compared to traditional hemorrhoidectomy, certain complications and long-term efficacy remain uncertain. This study was performed to assess the...

  • Stapled transanal longitudinal posterior proctectomy (STALPP) in total rectal prolapse: a 7-year experience. Blas-Franco, M.; Valenzuela-Salazar, C.; Concha-Blankenagel, E.; Pichardo Farfan, M.; Ramírez Mendoza, P.; Hernández Figueroa, J.; Bahena Aponte, J.; Jesus Herrera Esquivel, J. // Techniques in Coloproctology;Feb2014, Vol. 18 Issue 2, p173 

    Background: Surgical management of complete rectal prolapse is challenging. We present our results with the novel technique stapled transanal longitudinal posterior proctectomy (STALPP) in patients with complete rectal prolapse. Methods: We performed a retrospective study in two hospitals from...

  • Obstructed Defecation after Stapled Hemorrhoidopexy: A Report of Four Cases. DOWDEN, JACOB E.; STANLEY, J. DANIEL; MOORE, RICHARD A. // American Surgeon;Jun2010, Vol. 76 Issue 6, p622 

    Stapled hemorrhoidopexy or Procedure for Prolapse and Hemorrhoids (PPH) has become an accepted alternative to excisional hemorrhoidectomy for treating prolapsing hemorrhoids. Although rare, severe complications have been reported after this procedure. We report a series of four male patients...

  • Laparoscopic mesh rectopexy for complete rectal prolapse in children: a new simplified technique. Shalaby, Rafik; Ismail, Maged; Abdelaziz, Mohamad; Ibrahem, Refaat; Hefny, Khaled; Yehya, Abdelaziz; Essa, Abdelghany // Pediatric Surgery International;Aug2010, Vol. 26 Issue 8, p807 

    Purpose: Rectal prolapse in children without underlying conditions is usually a self-limiting problem and requires no surgical treatment. For children with persistent rectal prolapse, a variety of surgical procedures have been described with success. Recently, there are many reports...

  • The role of hemorrhoidopexy in the management of 3rd degree hemorrhoids. Pramateftakis, M. G. // Techniques in Coloproctology;Sep2010, Vol. 14, p5 

    Introduction: Hemorrhoidopathy is a very common benign surgical pathology. Hemorrhoids are divided into 4 stages, depending on symptoms and degree of prolapse. Hemorrhoidopexy is a technique developed for the treatment of 3rd degree hemorrhoids, but its application has been extended to the...

  • Fecal Urge Incontinence After Stapled Anopexia for Prolapse and Hemorrhoids: A Prospective, Observational Study. Schmidt, Johannes; Dogan, Nevzat; Langenbach, Ralf; Zirngibl, Hubert // World Journal of Surgery;Feb2009, Vol. 33 Issue 2, p355 

    Stapled anopexia was introduced as a surgical method in 1993. Long-term data with special interest in functional results and relapse symptoms are rarely presented. Urinary discomfort and problems with fecal urge incontinence are addressed as severe side effects. We present our long-term results...

  • Stapled hemorrhoidopexy: functional results, recurrence rate, and prognostic factors in a single center analysis. Voigtsberger, Arndt; Popovicova, Lucia; Bauer, Gunter; Werner, Knut; Weitschat-Benser, Tina; Petersen, Sven // International Journal of Colorectal Disease;Jan2016, Vol. 31 Issue 1, p35 

    Purpose: Since its introduction, stapled hemorrhoidopexy (SHP), the so-called Longo procedure, became a widely accepted treatment option for prolapsing hemorrhoids. Nevertheless, from the early years, concerns grew about the early functional results and potential recurrences. In order to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics