Surgical Treatment of Rectal Prolapse: A 10-Year Experience at a Single Institution
Journal of Minimally Invasive Surgery
; : 164-170, 2019.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-786102
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Despite the plethora of surgical options, there is no consensus regarding the best treatment for rectal prolapse. This study is aimed at evaluating our experience with its treatment and outcomes.METHODS:
We retrospectively reviewed rectal prolapse patients' characteristics, clinical presentation, surgical procedure, average length of hospital stay, morbidity, mortality, and recurrence over a 10 year period at our institution.RESULTS:
A total of 46 patients underwent rectal prolapse repair at our institution over a 10 year period. Of the 39 patients with primary rectal prolapse, 18 patients had an abdominal procedure, while 21 patients underwent a perineal approach. Operative duration was significantly longer in abdominal procedures, of which 16 cases were performed laparoscopically. Length of hospital stay and recurrence were not statistically significant between the 2 groups. In patients with recurrent rectal prolapse, more than 80% of the initial surgeries were done using the perineal approach. An abdominal approach was utilized in the management of 75% of recurrences.CONCLUSION:
An abdominal repair may be preferable in the treatment of recurrent rectal prolapse. Minimally invasive techniques may be feasible and can provide a safe alternative to perineal procedures in elderly patients.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Prolapse
/
Rectal Diseases
/
Rectum
/
Recurrence
/
Retrospective Studies
/
Mortality
/
Rectal Prolapse
/
Consensus
/
Length of Stay
Type of study:
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
English
Journal:
Journal of Minimally Invasive Surgery
Year:
2019
Document type:
Article