Abstract
One hundred thirteen patients underwent anterior resection for complete rectal prolapse betwen 1968 and 1980. These patients were followed for an average of seven years; recurrence developed in eight patients (9 percent). Recurrences were found to occur at three months to eight years postoperatively, and the probability of a recurrence at two, five, and ten years was 3 percent, 6 percent, and 12 percent, respectively. Operative mortality was 1 percent and morbidity was 29 percent. Low anterior resectioin, with anastomosis in the deperitonealized portion of the colon, was found to increase morbidity without significantly decreasing recurrence when compared with high anterior resection. The effects of repair on patient continence were unpredictable. High anterior resection is preferable to low anterior resection in the treatment of rectal prolapse and offers results comparable to those of other repairs currently being performed.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Muir EG. Rectal prolapse. Proc R Soc Med 1955;48:33–44.
Theuerkauf FJ Jr, Beahrs OH, Hill JR. Rectal prolapse: causation and surgical treatment. Ann Surg 1970;171:819–32.
Castro AF. Procidentia of the rectum. Dis Colon Rectum 1958;1:97–100.
Porter N. Collective results of operations for rectal prolapse. Proc R Soc Med 1962;55:1087–91.
Muir EG. Treatment of complete rectal prolapse in the adult. Proc R Soc Med 1962;55:1086–7.
Den Besten L, Brintnall ES, Ziffren SE. Successful surgical treatment of complete rectal prolapse. Dis Colon Rectum 1964;7:39–41.
Khubchandani IT, Bacon HE. Complete prolapse of rectum and its treatment. Arch Surg 1965;90:337–40.
Möller C, Kataja J. Complete rectal prolapse: a clinical study of 32 cases. Acta Chir Scand 1967;133:664–70.
Stabins SJ. A new surgical procedure for complete rectal prolapse in teh mentally ill patient; case report. Surgery 1951;29:105–8.
Swinton NW, McKee DM. Current surgical management of rectal procidentia. Surg Clin North Am 1965 June;45:657–60.
Tendler MJ. Massive prolapse of the rectum: the Pemberton-Stabins operation for the cure of procidentia. Arch Surg 1956;72:667–72.
Bacon HE, Arias E, Carroll PT, Ou-Yang LM, Cates BA. Complete rectal prolapse or procidentia: diagnosis and treatment. Geriatrics 1956;11:231–4.
Asman HB. Internal procidentia of the rectum. South Med J 1957;50:641–4.
Ford HS, Stenstrom JD. Treatment of complete rectal prolapse and its complications. Am J Surg 1958;96:338–41.
Swinton NW, Palmer TE. The management of rectal prolapse and procidentia. Am J Surg 1960;99:144–50.
Gregory EG Jr, Hartman AW, Hills WJ, Sammis WL. Experiences with rectal prolapse. Ann Surg 1962;155:495–500.
Frykman HM. Rectal procidentia: surgical treatment. J Lancet 1964;84:122–6.
Boulos PB, Stryker SJ, Nicholls RJ. The long-term results of polyvinyl alcohol (Ivalon) sponge for rectal prolapse in young patients. Br J Surg 1984;71:213–4.
Ripstein CB. Surgical care of massive rectal prolapse. Dis Colon Rectum 1965;8:34–8.
Jurgeleit HC, Corman ML, Coller JA, Veidenheimer MC. Procidentia of the rectum: Teflon sling repair of recvtal prolapse, Lahey Clinic experience. Dis Colon Rectum 1975;18:464–7.
Launer DP, Fazio VW, Weakley FL, Turnhull RB Jr, Jagelman DG, Lavery IC. The Ripstein procedure: a 16-year experience. Dis Colon Rectum 1982;25:41–5.
Gordon PH, Hoexter B. Complications of the Ripstein procedure. Dis Colon Rectum 1978;21:277–80.
Friedman MH. Results of Roscoe Graham repair. Proc R Soc Med 1962;55:1032–3.
Morgan CN. The use of Ivalon sponge. Proc R Soc Med 1962;55:1084–5.
Frenckner B, Ihre T. Function of the anal sphincters in patients with intussusception of the rectum. Gut 1976;17:147–51.
Author information
Authors and Affiliations
About this article
Cite this article
Schlinkert, R.T., Beart, R.W., Wolff, B.G. et al. Anterior resection for complete rectal prolapse. Dis Colon Rectum 28, 409–412 (1985). https://doi.org/10.1007/BF02560226
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02560226