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Results of Surgical Treatment of Total Rectal Prolapse by Posterior Sutured Rectopexy

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Ziembikiewicz A., Krasnodębski I.
Polish Journal of Surgery
|
2007
|
vol. 79
|
issue 11
692-700
EN
The aim of the study was to evaluate the immediate and delayed results of posterior rectopexy in the treatment of total rectal prolapse, its influence on constipation and fecal incontinence, as well as patient quality of life after the procedure.Material and methods. The study group comprised 70 patients who underwent the above-mentioned procedure at the Department of Proctology, Solec Hospital in Warsaw during the period between 1976 and 2003. The study group consisted of 62 female and 8 male patients, aged between 19 and 88 years (mean age 59.9 years). All patients underwent posterior rectopexy. Thirty (43%) of the surgical patients responded to the questionnaire, including 18 (26%) who presented for the postoperative examination. The following were determined: intraoperative complications, frequency of recurrence, fecal incontinence according to Wexner's scale, constipation, influence of the procedure on sphincter condition, and patients' quality of life.Results. All patients underwent total rectal prolapse surgery. Mortality and severe complications were not observed. Rectal prolapse recurrence was not observed. The percentage of intraoperative complications amounted to 4%, and that of postoperative complications 9%. Fecal continence improvement after the operation was confirmed on the basis of Wexner's scale. After surgery the percentage of patients with constipation slightly increased (80% vs 87%).Conclusions. Posterior rectopexy enables the treatment of total rectal prolapse, and is considered to be the most simple, effective and safe operative method, with a low rate of complications and recurrence in patients who qualify for laparotomy. Surgery significantly improves the patients' quality of life.
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