CAUTERIZATION - PLICATION OPERATION IN THE TREATMENT OF COMPLETE RECTAL PROLAPSE | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 20, Issue 2, April 2001, Page 579-583 PDF (388.39 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2001.376386 | ||||
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| Authors | ||||
| Olfat El-Sibai* 1; Ali A. Shafik2 | ||||
| 1Professor and Chairman, Department of Surgery, Faculty of Medicine, Menoufia University. | ||||
| 2Lecturer, Department of Surgery, Faculty of Medicine, Cairo University Egypt. | ||||
| Abstract | ||||
| Abstract: The current communication presents a simple technique for treatment of complete rectal prolapse (CRP), which is easy, and with minimal complications. The study included 28 patients present with CRP. Their mean age was 36.4 (4 children 2-12 years), 17 females and 11 males, 14 patients had fecal incontinence. With the patient under general anesthesia in lithotomy position, the prolapsed rectum was pulled outside the anal canal, the mucosa was cauterized in vertical line and thus exposing the musle layer which was plicated by 2/0 Dixon suture. Posterior levatorplasty was done in 14 adult patients in whom the length of prolapsed segment was more then 4 inches and who were incontinent. The postoperative follow up was 31.6 months. Five had postoperative mucosal prolapse and one had recurrence 3 months of operation. Mucosal placation was performed for the five patients and redo of the operation for the recurrent patient. Fecal impaction, stricture and fistula formations were not encountered. The technique is simple easy and with minimal complication. | ||||
| Keywords | ||||
| Complete rectal prolapse; Cauterization; Plication; Posterior levatorplasty; Incontinence | ||||
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