Background: Rectal prolapse is as ancient humanity. Treatment must be surgical in adult patients. There is no gold standard procedure to date; thus, this has given rise to controversy.
Objective: One objective was to analyze our results, complications, mortality, and recurrence in a Colorectal Surgery Service for surgical treatment of complete rectal prolapse.
Patients And Methods: We reviewed records of all patients treated surgically with rectal prolapse at our Service from March 1995 to March 2001.
Results: 31 patients; 22 were female and nine male with age range of 24 to 89 years. Evolution time was 6 months to 40 years; 11 patients had preoperative incontinence. We carried our four procedures, abdominal procedure hospital stay was 4 to 7 days; we had 18% long-term complications with no mortality or recurrence. Hospital stay in perineal procedures was 1 to 2 days with one procedure associated with death due to AV blockade, with 14% recurrence for helicoidal suture procedure, and no complications. Altemeier procedure recurred at 1 month of surgery. Continence score of Miller improve postoperatively.
Conclusions: Abdominal procedures have less recurrence than perineal procedures; abdominal procedures must be considered in young patients with low risk, and perineal procedures in older patients with high risk, that are coantraindications for a major surgical procedure.
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