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Year : 2012  |  Volume : 2  |  Issue : 2  |  Page : 57-62

Management of rectal prolapse

Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

Correspondence Address:
Saleh M Al Daqal
Department of Surgery, King Abdulaziz University, Jeddah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.110017

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Background: Rectal prolapse is a chronic disease that commonly affects elderly women in which the rectum partially or fully intussuscepts and comes out through anal canal. Management of this condition is challenging and there are different surgical approaches to this disease. The objective of this study was to evaluate and compare different surgical treatment modalities in the treatment of rectal prolapse. Materials and Methods: Literature review of all articles concerned with management of rectal prolapse which were published in PubMed was done between the periods from January 1990 to July 2012. Different surgical options for rectal prolapse repair were reviewed and the outcome of these procedures in terms of the recurrence rate and the complications were evaluated. Results: Surgical options in management of rectal prolapse are abdominal, perineal, laparoscopic, and robotic approaches. Conclusion: The choice of treatment in rectal prolapse is determined by several factors including the patient age, sex, general condition of the patients, and institutional capabilities. Perineal procedures are less invasive and are the ideal choice for elderly debilitated women and young male patients' consideration, but it is associated with higher rate of recurrence. The open abdominal approach is beneficial to patients with long redundant sigmoid colon and has less recurrence rate, but it is associated with prolonged recovery period and higher morbidities. Laparoscopic and robotic approaches are less invasive and provide the low recurrence rate of the abdominal approach with a recovery period that is more like the perineal approach.

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