Surgical Treatment of Rectal Prolapse: A 10-Year Experience at a Single Institution
10.7602/jmis.2019.22.4.164
- Author:
Aeris Jane D NACION
1
;
Youn Young PARK
;
Ho Seung KIM
;
Seung Yoon YANG
;
Nam Kyu KIM
Author Information
1. Department of Surgery, Eastern Visayas Regional Medical Center, Tacloban, Philippines.
- Publication Type:Original Article
- Keywords:
Procidentia;
Prolapse;
Rectal prolapse;
Rectal diseases;
Rectum
- MeSH:
Aged;
Consensus;
Humans;
Length of Stay;
Mortality;
Prolapse;
Rectal Diseases;
Rectal Prolapse;
Rectum;
Recurrence;
Retrospective Studies
- From:Journal of Minimally Invasive Surgery
2019;22(4):164-170
- CountryRepublic of Korea
- Language:English
-
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.
