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2012 | 84 | 12 | 626-631

Article title

Mikulicz’S Procedure with Levator Muscle and External Anal Sphincter Plasty in the Treatment of Rectal Prolapse

Content

Title variants

Languages of publication

EN

Abstracts

EN
Rectal prolapse is the partial or complete protrusion of the rectal wall into the anal canal. The most common etiology consists in the insufficiency of the diaphragm of the lesser pelvis and anal sphincter apparatus. Methods of surgical treatment involve perineal or abdominal approach surgical procedures.The aim of the study was to present the method of surgical rectal prolapse treatment, according to Mikulicz’s procedure by means of the perineal approach, based on our own experience and literature review.Material and methods. The study group comprised 16 patients, including 14 women and 2 men, aged between 38 and 82 years admitted to the department, due to rectal prolapse, during the period between 2000 and 2012. Nine female patients, aged between 68 and 82 years (mean age-76.3 years) with fullthickness rectal prolapse underwent surgery by means of Mikulicz’s method with levator muscle and external anal sphincter plasty. The most common comorbidities amongst patients operated by means of Mikulicz’s method included cardiovascular and metabolic diseases.Results. Mean hospitalization was 14.4 days (ranging between 12 and 17 days). Despite advanced age and poor general condition of the patients, complications during the perioperative period were not observed. Good early and late functional results were achieved. The degree of anal sphincter continence was determined 6-8 weeks after surgery showing significant improvement, as compared to results obtained prior to surgery. One case of recurrence consisting in mucosal prolapse was noted, being treated surgically by means of Whitehead’s method. Good treatment results were observed.Conclusion. Transperineal rectosigmoidectomy using Mikulicz’s method with levator muscle and external anal sphincter plasty seems to be an effective, minimally invasive and relatively safe procedure that does not require general anesthesia. It is recommended in case of patients with significant comorbidities and high surgical risk.

Publisher

Year

Volume

84

Issue

12

Pages

626-631

Physical description

Dates

published
1 - 12 - 2012
online
09 - 02 - 2013

Contributors

  • Chair and Departament of General and Gastrointestinal Surgery in Bytom, Medical University of Silesia
  • Students Scientific Organisation, Chair and Department of General and Gastrointestinal Surgery in Bytom, Medical University of Silesia
  • Students Scientific Organisation, Chair and Department of General and Gastrointestinal Surgery in Bytom, Medical University of Silesia
  • Students Scientific Organisation, Chair and Department of General and Gastrointestinal Surgery in Bytom, Medical University of Silesia
  • Students Scientific Organisation, Chair and Department of General and Gastrointestinal Surgery in Bytom, Medical University of Silesia
author
  • Chair and Departament of General and Gastrointestinal Surgery in Bytom, Medical University of Silesia

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-012-0103-3
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