Perineal Rectosigmoidal Resection for Complete Rectal Prolapse

Hussein Alkatrani; Mamoon Mahmood Basrah

doi:10.3889/oamjms.2021.7553

Authors

Hussein Alkatrani Department of Surgery, AL-Mawani Teaching Hospital, Basrah Health Directorate, Ministry of Health and Environment, Basrah, Iraq
Mamoon Mahmood Basrah Department of Surgery, AL-Mawani Teaching Hospital, Basrah Health Directorate, Ministry of Health and Environment, Basrah, Iraq

DOI:

https://doi.org/10.3889/oamjms.2021.7553

Keywords:

Perineal rectosigmoidal resection, Rectal prolapse, Altemier’s procedure, BPR

Abstract

BACKGROUND: Rectal prolapse (RP) (rectal Providencia) is a disorder manifest by full-thickness intussusceptions of the rectal wall that protrudes externally through the anus.

AIM: A retrospective study was done to evaluate the outcome of rectosigmoidal resection for complete rectal prolapse (CRP) in our hospital from 2008 to 2020.

METHODS: This study analyzes the data of post-operative outcomes for 25 patients with CRP treated by perineal rectosigmoidal resection; eight patients were male and 17 were female.

RESULTS: A total of 25 patients enrolled with the median age of 50 years. There was an improvement in the general condition of patients regarding constipation, bleeding per rectum, incontinence, and perineal discomfort. There were no mortality, no major complication, and a low recurrence rate.

CONCLUSION: Altemier’s procedure for CRP improves patients’ general condition regarding constipation and incontinence, no mortality, low complication rate, and negligible rate of recurrence.

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