Perineal Rectosigmoidectomy for Rectal Prolapse: An 8-Year Experience

Authors

  • Sivamate Khangpenkae Department of Surgery, Surin Hospital, Surin 32000, Thailand

Abstract

Objective: To report an eight-year experience with perineal rectosigmoidectomy and posterior levator ani repair in patients with complete rectal prolapse.

Materials and Methods: From January 2000 to December 2007, 12 patients with rectal prolapse were treated with perineal rectosigmoidectomy at Surin Hospital. Six patients presented with acute incarcerated rectal prolapse. Mortality, morbidity, recurrence rates, and improvement of anal continence were assessed.

Results: Of 12 patients, improvement in anal continence was seen in 10 (83%) patients. Morbidity was low. Recurrence rate was 8.3% (1/12).

Conclusions: Perineal rectosigmoidectomy for rectal prolapse is safe and has a low recurrence rate. Posterior levator ani repair seemed to improve anal continence

References

1. Altemeier WA, GiuseffiJ, Hoxworth P. Treatment of extensive prolapse of the rectum in aged debilitated patients. Arch Surg 1952;65:72-80.

2. Ramanujam PS, Venkatesh KS. Perineal excision of rectal prolapse with posterior levator ani repair in elderly high risk patients. Dis Colon Rectum 1988:31:704-6.

3. Gopal KA, Amshel AL, Shonberg IL, Wftaiha M. Rectal procidentia in elderly and debilitated patients: experience with the Altemeier procedure. Dis Colon Rectum 1984;27:376-81.

4. Watts JD, Rothenberg DA, Buls JG, Goldberg SM, Nivatvongs S. The management of procedentia: thirty years' experience. Dis Colon Rectum 1985;28;96-102.

5. Prasad MI, Pearl RK, Abcarian H, Orsay CP, Nelsen RL. Perineal proctectomy, posterior rectopexy, and posterior anal levator repair for the treatment of rectal prolapse. Dis Colon Rectum 1986;29:547-52.

6. Wassef R, Rothenberg DA, Goldberg SM. Surgical treatment of rectal prolapse. Surg Rounds 1986;7:15-29.

7. McKee RF, Lander JC, Poon TW, Finley IG. A prospective randomized study of abdominal rectopexy with and without sigmoidectomy in rectal prolapse. Surg Gynecol Obstet 1992;174:145-
8.

8. Mickulicz J. Zur operativen behandlung prolapsus recti et coli invaginati. Arch Klin Chir 1889:38:74.

9. Miles WE. Rectosigmoidectomy as a method of treatment for procedentia recti. JR Soc Med 1933;26:1445-52.

10. Gabriel WB. The principles and practice of rectal surgery. 4th ed. London: HK Lewis; 1948.

11. Altemeier WE. One stage perineal surgery for complete rectal prolapse. Hosp Pract (Off Ed) 1972;7:102-8.

12. Wassef R, Rothenberger DA, Goldberg SM. Rectal prolapse. Curr Probl Surg 1986;23:402-51.

13. Goligher JC. Surgery of the anus, rectum and colon. 5th ed. London: Bailliere Tindall; 1984. p. 302.

Downloads

Published

2008-03-31

How to Cite

1.
Khangpenkae S. Perineal Rectosigmoidectomy for Rectal Prolapse: An 8-Year Experience. Thai J Surg [Internet]. 2008 Mar. 31 [cited 2024 Dec. 23];29(1):25-7. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/240869

Issue

Section

Original Articles