Volume : IX, Issue : XI, November - 2019

RECTAL PROLAPSE AND MANAGEMENT : A STUDY ON 30 CASES

Dr. Kurikala Raghu, Dr. Anil Mamidi, Dr. Chalamala Shyam Sunder Reddy

Abstract :

Back ground: Rectal prolapse is protrusion of part or whole rectum through the anal orifice. Management of this condition is challenging and there are different surgical approaches. Aim: To evaluate and compare different surgical treatment modalities in treatment of rectal prolapse. Materials and methods :Patients with full thickness prolapsed rectum , normal colonic transit and those found fit in ASI grade1 and grade 2 were selected for the study . Different surgical approaches were reveiwed and the outcome in terms of recurrence and complications were evaluated. Results: out of 30 cases, 21 cases underwent open abdominal procedures (in which resection rectopexy for 9 cases and pre–sacral rectopexy only for 12cases) and 6cases underwent perineal repair (altemeier–4 delorme–2), 3cases underwent laparoscopic (rectopexy–2,resection rectopexy–1).Average hospitalisation was shorter for perineal than abdominal procedures . Post op complications and mortality were observed in 3cases within follow up of 6months,no mortality and no recurrence. Conclusion: The type of surgery for patients with rectal prolapse should be selected by taking patients overall condition and surgical experience into account. In young patients, abdominal approach must be performed but laparoscopic approach has its advantage Altemeiers procedure shall be chosen in older patients with low complication rate and recurrence.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

RECTAL PROLAPSE AND MANAGEMENT : A STUDY ON 30 CASES, Dr. KURIKALA RAGHU, Dr. ANIL MAMIDI, Dr. CHALAMALA SHYAM SUNDER REDDY INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-11 | November-2019

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