Rectal Prolapse

Abstract

Rectal prolapse is a condition that usually requires surgical intervention to correct. Abdominal and perineal approaches are well described in the literature. Abdominal approaches have traditionally been reserved for young healthy patients, but this has been challenged by perineal approaches with excellent outcomes. Laparoscopic techniques have been shown to be effective and equivalent to traditional laparotomy techniques.

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

“…However, in these procedures, the decreased perioperative morbidity could be connected with the increased recurrence rate. There are three most commonly performed procedures: the perineal rectosigmoidectomy (Altemeier procedure), the perineal rectosigmoidectomy with levatoroplasty and the Delorme procedure [4,10]. In our study, actually we noted higher recurrence rates in overall perineal group of patients but we did not reveal any statistical significance.…”

“…In our series, all cases were electively operated on, and we used the Altemeier procedure in the majority of our recurrences with good results. The mortality rate after the elective procedure ranges from 0 to 5 % [10,21,25]. In our study, no mortality was reported in the Altemeier group.…”

“…Patients with a history of constipation seem to obtain more benefit by adding sigmoid resection of the redundant bowel [10]. We did not report any constipated patients prior to surgery in our small rectopexy group; thus, the procedure of rectopexy did not require additional bowel resection.…”

“…Additionally, it seems to be the procedure of choice for patients with an incarcerated, gangrenous rectal prolapse and a very good option for patients with a recurrence after the earlier perineal procedure [10,24]. In our series, all cases were electively operated on, and we used the Altemeier procedure in the majority of our recurrences with good results.…”

“…Before the operation, many factors must be considered, such as the patient's age, comorbidities, gender and preoperative constipation as well as anal incontinence. Surgical approaches are mainly divided into abdominal and perineal operations [10].…”