2001, Number 5
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Cir Cir 2001; 69 (5)
Results of Rectal Prolapse with Fixation to the Promontory
Pérez-Morales A, Canales-Kai A, Morales-Guzmán M, Roesch-Dietlen F
Language: Spanish
References: 35
Page: 215-220
PDF size: 81.63 Kb.
ABSTRACT
Introduction: We proposean alternative surgical treatment for total rectal prolapse that consists of a modification of the Roscoe, Graham, and Ripstein technique.
Material and method: We present the experience of 10 years (1980-1999) of patients with total rectal prolapse, in which diagnosis was made by clinical, radiologic, and endoscopic procedures. All patients were surgically treated with the modified surgical technique of Roscoe, Graham, and Ripstein, which consisted of a fixation of the rectum to the promontory, patients seen for at the Hospital de Especialidades del Centro Médico Nacional “Adolfo Ruiz Cortínes” del Instituto Mexicano del Seguro Social in Veracruz City. Analysis was made from data registered in patients’ clinical records and results were statistically evaluated.
Results: There were 58 patients, of which 67.24% were male and 32.70%, female in a proportion of 3:1. Mean age was 49.5 years and mean time of symptoms was 5.3 years. All patients were surgically treated with the technique of fixation of the rectum to the promontory. Clinical follow-up was from 2 to 10 years. The results were satisfactorily in 98.38% of cases. Mortality rate was 0, and in one case (l.72%), the prolapse relapsed, which was re-operated on with the same technique. Over-all mobility was 3.74%, one case presented subcutaneous abscess, and one case sexual impotence, corrected with a penis prosthesis.
Discussion: The surgical technique that we used at our Institution is a good alternative for the management of total rectal prolapse, with excellent results (98.28%) and easily carried out.
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