Full-thickness rectal prolapse is a painful and debilitating condition that often responds well to surgical intervention. The best method of surgical repair is a matter of debate. Historically, perineal approaches have been thought to have inferior outcomes and were therefore reserved for elderly and unfit patients. Despite recent data calling that into question, perineal approaches are still commonly performed and have their role. We present risks and benefits along with a description of perineal approaches for surgical treatment of rectal prolapse.
Keywords: Altemeier; Delorme; Thiersch; rectal prolapse; rectosigmoidectomy.
Comparing Perineal Repairs for Rectal Prolapse: Delorme Versus AltemeierF Elagili et al. Tech Coloproctol 19 (9), 521-5. PMID 26341686.In patients where abdominal repair of rectal prolapse is judged to be unwise, a Delorme procedure offers short-term control of the prolapse with low risk of complications …
Perineal Rectosigmoidectomy for Primary and Recurrent Rectal Prolapse: Are the Results Comparable the Second Time?JH Ding et al. Dis Colon Rectum 55 (6), 666-70. PMID 22595846.Redo perineal rectosigmoidectomy is as safe and feasible as primary perineal rectosigmoidectomy in elderly and fragile patients with recurrent full-thickness rectal prola …
Rectal ProlapseSD Goldstein et al. Clin Colon Rectal Surg 24 (1), 39-45. PMID 22379404.Rectal prolapse is a condition that usually requires surgical intervention to correct. Abdominal and perineal approaches are well described in the literature. Abdominal a …
Rectal Prolapse and IntussusceptionQ Hatch et al. Gastroenterol Clin North Am 42 (4), 837-61. PMID 24280403. - ReviewRectal prolapse continues to be problematic for both patients and surgeons alike, in part because of increased recurrence rates despite several well-described operations. …
[Surgical Options in the Treatment of Rectal Prolapse: Indications, Techniques and Results]M Sailer et al. Zentralbl Chir 132 (4), 350-7. PMID 17724640. - ReviewTwo different approaches can be distinguished in the surgical treatment of rectal prolapse, i. e. the transabdominal route and the perineal procedures. The following arti …
Cited by 2 PubMed Central articles
Strangulated Recurrent Rectal Prolapse After a Delorme Intervention, a Case ReportN Malibary et al. Clin Case Rep 7 (4), 770-772. PMID 30997083. - Case ReportsA surgeon must be aware of indications of rectal prolapse surgery with proper preoperative evaluation and have the ability to recognize complications. Sigmoid redundancy …
Tension-free Vaginal Mesh Operation for Concomitant Rectal and Uterine Prolapse: A Case ReportK Yamashita et al. Urol Case Rep 22, 28-30. PMID 30364721. - Case Reports