A retrospective study of rectal prolapse in Chitwan Medical College

Rectal prolapse (RP) is an unusual anorectal disease affecting both children and adults. Complete rectal prolapse represents full thickness protrusion of the rectum through the anal verge. Incarceration and strangulation are the most unusual, but dreaded complications of rectal prolapse that requires a surgical emergency. Management of such complications is still controversial. Some prefer conservative management by application of sugar while other preferred operative intervention. When prolapse is not reducible and a sign of ischemia is present the operative intervention is inevitable. The choice of procedure also varies. The Altemeierperineal rectosigmoidectomy remains the best treatment of such emergency conditions.

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Perineal Rectosigmoidal Resection for Complete Rectal Prolapse

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.7553 ◽

2021 ◽

Vol 9 (B) ◽

pp. 1727-1729

Author(s):

Hussein Alkatrani ◽

Mamoon Mahmood Basrah

Keyword(s):

Retrospective Study ◽

Rectal Prolapse ◽

General Condition ◽

Complication Rate ◽

Rectal Wall ◽

Major Complication ◽

Complete Rectal Prolapse ◽

Full Thickness ◽

Operative Outcomes ◽

Bleeding Per Rectum

BACKGROUND: Rectal prolapse (RP) (rectal Providencia) is a disorder manifest by full-thickness intussusceptions of the rectal wall that protrudes externally through the anus. AIM: A retrospective study was done to evaluate the outcome of rectosigmoidal resection for complete rectal prolapse (CRP) in our hospital from 2008 to 2020. METHODS: This study analyzes the data of post-operative outcomes for 25 patients with CRP treated by perineal rectosigmoidal resection; eight patients were male and 17 were female. RESULTS: A total of 25 patients enrolled with the median age of 50 years. There was an improvement in the general condition of patients regarding constipation, bleeding per rectum, incontinence, and perineal discomfort. There were no mortality, no major complication, and a low recurrence rate. CONCLUSION: Altemier’s procedure for CRP improves patients’ general condition regarding constipation and incontinence, no mortality, low complication rate, and negligible rate of recurrence.

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EFFECT OF PERINEAL REPAIR AND MUSHAKADI TAILA MATRABASTI IN MANAGEMENT OF RECTAL PROLAPSE (GUDABHARMSA): A CASE STUDY

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/amj3808082020 ◽

2020 ◽

Vol 8 (8) ◽

pp. 4267-4270

Author(s):

Sapna Maheshwari ◽

Harshit Shah ◽

Pragnesh Patel

Keyword(s):

Rectal Prolapse ◽

Signs And Symptoms ◽

Cost Effective ◽

Complete Rectal Prolapse ◽

Full Thickness ◽

Perineal Repair ◽

Chief Complaints ◽

Surgical Options ◽

External Rectal Prolapse

Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.

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Laparoscopic rectopexy for full-thickness rectal prolapse: a single-institution retrospective study evaluating surgical outcome

Surgical Endoscopy ◽

10.1007/s00464-004-9088-2 ◽

2005 ◽

Vol 19 (4) ◽

pp. 514-518 ◽

Cited By ~ 54

Author(s):

D. Lechaux ◽

G. Trebuchet ◽

L. Siproudhis ◽

J. P. Campion

Keyword(s):

Retrospective Study ◽

Rectal Prolapse ◽

Surgical Outcome ◽

Full Thickness ◽

Single Institution ◽

Laparoscopic Rectopexy

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Outcome of Delorme's Procedure for Full-Thickness Rectal Prolapse: Our experience in Bangabandhu Sheikh Mujib Medical University, Dhaka

Faridpur Medical College Journal ◽

10.3329/fmcj.v10i2.30271 ◽

2016 ◽

Vol 10 (2) ◽

pp. 55-58

Author(s):

Tariq Akhtar Khan ◽

Md Shahadot Hossain Sheikh ◽

Md Abu Taher ◽

Md Rayhanur Rahman ◽

Md Rashidul Islam ◽

...

Keyword(s):

Rectal Prolapse ◽

Operative Time ◽

Complete Rectal Prolapse ◽

Full Thickness ◽

Patient Reported ◽

Delorme’S Procedure ◽

The Mean ◽

Medical University ◽

Delorme's Procedure

The study was undertaken to determine the efficacy and safety profile of Delorme's procedure as the treatment for full-thickness rectal prolapse. In this study, outcome of Delorme's procedure for full-thickness rectal prolapse were assessed retrospectively. All the patients who underwent this surgery (22 patients) from July, 2013 to June, 2015 were included in the study. There were 18 males and 4 females with mean age of 37.4 years (range 12-70). The mean operative time was 92.6 minutes (Range 60-180 minutes). There was no mortality and blood loss was minimal. Mean hospital stay was 3.5 days (2-6 days). Outcomes of the procedure were satisfactory and no patient reported recurrence of the disease within the follow up period. Delorme's operation is safe and effective treatment for complete rectal prolapse in patients of all age and sex.Faridpur Med. Coll. J. Jul 2015;10(2): 55-58

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