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Surgical Treatment of Rectal Prolapse: A 10-Year Experience at a Single Institution

 Aeris Jane D. Nacion  ;  Youn Young Park  ;  Ho Seung Kim  ;  Seung Yoon Yang  ;  Nam Kyu Kim 
 Journal of Minimally Invasive Surgery, Vol.22(4) : 164-170, 2019 
Journal Title
 Journal of Minimally Invasive Surgery 
Issue Date
Procidentia ; Prolapse ; Rectal prolapse ; Rectal diseases ; Rectum
Purpose Despite the plethora of surgical options, there is no consensus regarding the best treatment for rectal prolapse. This study is aimed at evaluating our experience with its treatment and outcomes. Methods We retrospectively reviewed rectal prolapse patients’ characteristics, clinical presentation, surgical procedure, average length of hospital stay, morbidity, mortality, and recurrence over a 10 year period at our institution. Results A total of 46 patients underwent rectal prolapse repair at our institution over a 10 year period. Of the 39 patients with primary rectal prolapse, 18 patients had an abdominal procedure, while 21 patients underwent a perineal approach. Operative duration was significantly longer in abdominal procedures, of which 16 cases were performed laparoscopically. Length of hospital stay and recurrence were not statistically significant between the 2 groups. In patients with recurrent rectal prolapse, more than 80% of the initial surgeries were done using the perineal approach. An abdominal approach was utilized in the management of 75% of recurrences. Conclusion An abdominal repair may be preferable in the treatment of recurrent rectal prolapse. Minimally invasive techniques may be feasible and can provide a safe alternative to perineal procedures in elderly patients.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Yang, Seung Yoon(양승윤) ORCID logo https://orcid.org/0000-0001-8129-7712
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