Treatment of rectal prolapse in the elderly by perineal rectosigmoidectomy

1992 ◽  
Vol 35 (9) ◽  
pp. 830-834 ◽  
Author(s):  
J. Graham Williams ◽  
David A. Rothenberger ◽  
Robert D. Madoff ◽  
Stanley M. Goldberg
Keyword(s):  
Rectal Prolapse ◽  
The Elderly ◽  
Perineal Rectosigmoidectomy

scholarly journals Surgical treatment of rectal prolapse: experience and late results with 51 patients

2004 ◽  
Vol 59 (4) ◽  
pp. 168-171 ◽  
Author(s):  
Carlos Walter Sobrado ◽  
Desidério Roberto Kiss ◽  
Sérgio C. Nahas ◽  
Sérgio E. A. Araújo ◽  
Victor E. Seid ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Late Results ◽  
Long Term Results ◽  
Complete Rectal Prolapse ◽  
Presacral Space ◽  
Perineal Rectosigmoidectomy ◽  
Study Results ◽  
Low Incidence

The "best" surgical technique for the management of complete rectal prolapse remains unknown. Due to its low incidence, it is very difficult to achieve a representative number of cases, and there are no large prospective randomized trials to attest to the superiority of one operation over another. PURPOSE: Analyze the results of surgical treatment of complete rectal prolapse during 1980 and 2002. METHOD: Retrospective study. RESULTS: Fifty-one patients underwent surgical treatment during this period. The mean age was 56.7 years, with 39 females. Besides the prolapse itself, 33 patients complained of mucous discharge, 31 of fecal incontinence, 14 of constipation, 17 of rectal bleeding, and 3 of urinary incontinence. Abdominal operations were performed in 36 (71%) cases. Presacral rectopexy was the most common abdominal procedure (29 cases) followed by presacral rectopexy associated with sigmoidectomy (5 cases). The most common perineal procedure was perineal rectosigmoidectomy associated with levatorplasty (12 cases). Intraoperative bleeding from the presacral space developed in 2 cases, and a rectovaginal fistula occurred in another patient after a perineal rectosigmoidectomy. There were 2 recurrences after a mean follow-up of 49 months, which were treated by reoperation. CONCLUSION: Abdominal and perineal procedures can be used to manage complete rectal prolapse with safety and good long-term results. Age, associated medical conditions, and symptoms of fecal incontinence or constipation are the main features that one should bear in mind in order to choose the best surgical approach.

scholarly journals Perineal rectosigmoidectomy for strangled rectal prolapse: A case report

2014 ◽  
Vol 03 (01) ◽  
pp. 64-66
Author(s):  
Alpha Oumar Toure ◽  
Cheikh Tidiane Diop ◽  
Fode Baba Toure ◽  
Thomas Marcel M. Wade ◽  
Gabriel Ngom
Keyword(s):  
Case Report ◽  
Rectal Prolapse ◽  
Perineal Rectosigmoidectomy

Perineal Rectosigmoidectomy for Primary and Recurrent Rectal Prolapse

2012 ◽  
Vol 55 (6) ◽  
pp. 666-670 ◽  
Author(s):  
Jian-Hua Ding ◽  
Jorge Canedo ◽  
Seung-Hyun Lee ◽  
Sudhir N. Kalaskar ◽  
Lester Rosen ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Perineal Rectosigmoidectomy

Lomas-Cooperman technique for rectal prolapse in the elderly patient

2006 ◽  
Vol 10 (2) ◽  
pp. 106-110 ◽  
Author(s):  
J. E. Mansilla ◽  
G. C. Bannura ◽  
J. P. Contreras ◽  
A. E. Barrera ◽  
C. L. Melo ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Rectal Prolapse ◽  
The Elderly

scholarly journals High Grade Uterine and Rectal Prolapse

2016 ◽  
Vol 1 (2) ◽  
pp. 183-185
Author(s):  
Călin Molnar ◽  
Octavian-Sabin Tătaru ◽  
Vlad-Olimpiu Butiurcă ◽  
Varlam-Claudiu Molnar
Keyword(s):  
Rectal Prolapse ◽  
Elderly Women ◽  
Uterine Prolapse ◽  
Pelvic Organ ◽  
Case Presentation ◽  
Transvaginal Approach ◽  
Perineal Rectosigmoidectomy ◽  
Dilatation And Curettage ◽  
Manual Anastomosis ◽  
Manchester Procedure

Abstract Introduction: Pelvic floor hernias are encountered especially in elderly women. A combined genital, bladder, and rectal prolapse poses treatment challenges in aged women. Case presentation: We present the case of an 88 year-old patient, complaining of an intravaginal mass protruding for the last 3 months, rectal prolapse that occurred two weeks before admittance, accompanied by stress incontinence of urine and chronic constipation. Examination revealed a uterine prolapse with cystocele and a fourth grade rectal prolapse. We decided on a perianal and transvaginal approach, performing preliminary dilatation and curettage, cervix amputation, anterior colporrhaphy and colpoperineorrhaphy (Manchester procedure) with perineal rectosigmoidectomy using the LigaSure™ device, and coloanal manual anastomosis. Postoperatively the patient had no symptoms of stress urinary incontinence, bowel movement resumed in the fourth postoperative day, and the patient was discharged after seven days. One month after surgery the patient has both urinary and fecal continence, with no relapse in pelvic organ prolapse. Conclusions: Encountering genital, bladder, and rectal prolapse in the same patient is quite rare, and its treatment can be difficult in aged women. Therefore, a less invasive surgical procedure, using the transvaginal approach, and a genital sparing surgery could be the key in cases like this.

scholarly journals A Case Report : Perineal Rectosigmoidectomy with Levator Plasty (Altemeier) for Rectal Prolapse Complicated with Senile Kyphosis

2001 ◽  
Vol 26 (2) ◽  
pp. 265-268
Author(s):  
Yoshihisa SAIDA ◽  
Jiro NAGAO ◽  
Makoto TAKASE ◽  
Chidori OKUMURA ◽  
Katsutaka SAI ◽  
...  
Keyword(s):  
Case Report ◽  
Rectal Prolapse ◽  
Perineal Rectosigmoidectomy
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