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2011, Number 1

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Rev Latinoam Cir 2011; 1 (1)

Surgical Management of Rectal Prolapse with the Frykman-Goldberg Technique

Pérez NJV, Palomares CUR, Anaya PR, González IJJ, Frías TMG

Language: Spanish
References: 22
Page: 34-37
PDF size: 356.33 Kb.


ABSTRACT

Background: The concept of resection of the rectosigmoid is based on the observation that after anterior resection it forms a dense area of birosis between th line of the anastomosis and the sacrum, fixing the rectum to the latter. Frykman and Goldberg in 1969 add the rectopexy following sigmoid resection, obtaining the benefits of mobilization of the rectum, sigmoid resection and fixation of the rectum; this has remained ever since as an excellent option for the treatment of rectal prolapse.
Methods: This is a descriptive cross-sectional study (case series) where we determined the morbidity, hospital stay, recurrence, improvement in anal continence and constipation effect on the Frykman-Goldberg technique for the management of rectal prolapse. We estimated the prevalence of each complication and morbidity was calculated caused by them. During the follow up postoperative changes in constipation and incontinence were evaluated.
Results: From January 1999 to December 2009 were performed 33 surgeries with sigmoid resection and rectopexy. Of the 33 patients twenty-one were women (63.6%) and 12 were men (34.4%). There were four complication (9%) of which 2 (6%) were lower and one higher (3%). Constipation improved in 70.5% of patients with tis symptom and incontinence in 34.6% of those who had it.
Conclusions: The management of rectal prolapse with sigmoid resection and rectopexy has good results if is done routinely by an experienced surgeon.


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