Advertisement

The Management of Recurrent Rectal Prolapse

  • Robert D. Madoff
  • James W. OgilvieJr.
  • Scott R. Steele

Abstract

The ideal surgical procedure for full-thickness rectal prolapse should be one of minimal morbidity, effective in improving symptoms, and durable over time with a low risk of recurrence. Unfortunately, as evident from the myriad number of surgical options for prolapse, it is not surprising that recurrence continues to plague the colorectal surgeon. Recurrence rates vary widely in the literature (older reports as high as 50%), and the variation is widely perceived to reflect the different technical aspects involved with each procedure [1]. Some authors suggest, however, that surgical technique does not fully account for the variation in recurrence rates, especially among abdominal approaches [2]. Instead, differences are more likely explained by nonuniform definitions of recurrent prolapse and varying lengths of follow-up [3]. Nevertheless, it is generally accepted that recurrence following an abdominal repair (0–10%) is less common than after a perineal approach (0–25%) [4]–[7].

Keywords

Rectal Prolapse Abdominal Approach Recurrent Prolapse Perineal Approach Pudendal Nerve Terminal Motor Latency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Karulf RE, Madoff RD, Goldberg SM (2001) Rectal prolapse. Curr Probl Surg 38:771–832PubMedGoogle Scholar
  2. 2.
    Raftopoulos Y, Senagore AJ, Di Giuro G, Bergamaschi R (2005) Recurrence rates after abdominal surgery for complete rectal prolapse: a multicenter pooled analysis of 643 individual patient data. Dis Colon Rectum 48:1200–1206PubMedCrossRefGoogle Scholar
  3. 3.
    DiGiuro G, Ignjatovic D, Brogger J, Bergamaschi R (2006) How accurate are published recurrence rates after rectal prolapse surgery? A meta-analysis of individual patient data. Am J Surg 191:773–778PubMedCrossRefGoogle Scholar
  4. 4.
    Kim DS, Tsang CB, Wong WD et al (1999) Complete rectal prolapse: evolution of management and results. Dis Colon Rectum 42:460–466; discussion 466–469PubMedCrossRefGoogle Scholar
  5. 5.
    Madiba TE, Baig MK, Wexner SD (2005) Surgical management of rectal prolapse. Arch Surg 140:63–73PubMedCrossRefGoogle Scholar
  6. 6.
    Jacobs LK, Lin YJ, Orkin BA (1997) The best operation for rectal prolapse. Surg Clin North Am 77:49–70PubMedCrossRefGoogle Scholar
  7. 7.
    Bullard Dunn K, Madoff R (2007) Rectal Prolapse. In: Wexner S, Stollman N (eds) Diseases of the colon. Informa Healthcare, New York, pp 81–97Google Scholar
  8. 8.
    Fengler SA, Pearl RK, Prasad ML et al (1997) Management of recurrent rectal prolapse. Dis Colon Rectum 40:832–834PubMedCrossRefGoogle Scholar
  9. 9.
    Hool GR, Hull TL, Fazio VW (1997) Surgical treatment of recurrent complete rectal prolapse: a thirtyyear experience. Dis Colon Rectum 40:270–272PubMedCrossRefGoogle Scholar
  10. 10.
    Steele SR, Goetz LH, Minami S et al (2006) Management of recurrent rectal prolapse: surgical approach influences outcome. Dis Colon Rectum 49:440–445PubMedCrossRefGoogle Scholar
  11. 11.
    Speakman CT, Madden MV, Nicholls RJ, Kamm MA (1991) Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg 78:1431–1433PubMedCrossRefGoogle Scholar
  12. 12.
    Scaglia M, Fasth S, Hallgren T et al (1994) Abdominal rectopexy for rectal prolapse. Influence of surgical technique on functional outcome. Dis Colon Rectum 37:805–813PubMedCrossRefGoogle Scholar
  13. 13.
    Williams JG, Rothenberger DA, Madoff RD, Goldberg SM (1992) Treatment of rectal prolapse in the elderly by perineal rectosigmoidectomy. Dis Colon Rectum 35:830–834PubMedCrossRefGoogle Scholar
  14. 14.
    Oliver GC, Vachon D, Eisenstat TE et al (1994) Delorme’s procedure for complete rectal prolapse in severely debilitated patients. An analysis of 41 cases. Dis Colon Rectum 37:461–467PubMedCrossRefGoogle Scholar
  15. 15.
    Uhlig BE, Sullivan ES (1979) The modified Delorme operation: its place in surgical treatment for massive rectal prolapse. Dis Colon Rectum 22:513–521PubMedCrossRefGoogle Scholar
  16. 16.
    Marceau C, Parc Y, Debroux E et al (2005) Complete rectal prolapse in young patients: psychiatric disease a risk factor of poor outcome. Colorectal Dis 7:360–365PubMedCrossRefGoogle Scholar
  17. 17.
    Zbar AP, Takashima S, Hasegawa T, Kitabayashi K (2002) Perineal rectosigmoidectomy (Altemeier’s procedure): a review of physiology, technique and outcome. Tech Coloproctol 6:109–116PubMedCrossRefGoogle Scholar
  18. 18.
    Delaney CP, Senagore AJ (2005) Rectal Prolapse. In: Fazio VW, Church JM, Delaney CP (eds) Current therapy in colon and rectal surgery, 2nd edn. Elsevier Mosby, Philadelphia, pp 125–134Google Scholar
  19. 19.
    Kariv Y, Delaney CP, Casillas S et al (2006) Long-term outcome after laparoscopic and open surgery for rectal prolapse: a case-control study. Surg Endosc 20:35–42PubMedCrossRefGoogle Scholar
  20. 20.
    Watts AM, Thompson MR (2000) Evaluation of Delorme’s procedure as a treatment for full-thickness rectal prolapse. Br J Surg 87:218–222PubMedCrossRefGoogle Scholar
  21. 21.
    Pikarsky AJ, Joo JS, Wexner SD et al (2000) Recurrent rectal prolapse: what is the next good option? Dis Colon Rectum 43:1273–1276PubMedCrossRefGoogle Scholar
  22. 22.
    Dolk A, Broden G, Holmstrom B et al (1990) Slow transit of the colon associated with severe constipation after the Ripstein operation. A clinical and physiologic study. Dis Colon Rectum 33:786–790PubMedCrossRefGoogle Scholar
  23. 23.
    Birnbaum EH, Stamm L, Rafferty JF et al (1996) Pudendal nerve terminal motor latency influences surgical outcome in treatment of rectal prolapse. Dis Colon Rectum 39:1215–1221PubMedCrossRefGoogle Scholar
  24. 24.
    Glasgow SC, Birnbaum EH, Kodner IJ et al (2006) Preoperative anal manometry predicts continence after perineal proctectomy for rectal prolapse. Dis Colon Rectum 49:1052–1058PubMedCrossRefGoogle Scholar
  25. 25.
    Johansen OB, Wexner SD, Daniel N et al (1993) Perineal rectosigmoidectomy in the elderly. Dis Colon Rectum 36:767–772PubMedCrossRefGoogle Scholar
  26. 26.
    Schultz I, Mellgren A, Nilsson BY et al (1998) Preoperative electrophysiologic assessment cannot predict continence after rectopexy. Dis Colon Rectum 41:1392–1398PubMedCrossRefGoogle Scholar
  27. 27.
    Tsugawa K, Sue K, Koyanagi N et al (2002) Laparoscopic rectopexy for recurrent rectal prolapse: a safe and simple procedure without a mesh prosthesis. Hepatogastroenterology 49:1549–1551PubMedGoogle Scholar
  28. 28.
    Agachan F, Pfeifer J, Joo JS et al (1997) Results of perineal procedures for the treatment of rectal prolapse. Am Surg 63:9–12PubMedGoogle Scholar
  29. 29.
    Marchal F, Bresler L, Ayav A et al (2005) Long-term results of Delorme’s procedure and Orr-Loygue rectopexy to treat complete rectal prolapse. Dis Colon Rectum 48:1785–1790PubMedCrossRefGoogle Scholar
  30. 30.
    Tsunoda A, Yasuda N, Yokoyama N et al (2003) Delorme’s procedure for rectal prolapse: clinical and physiological analysis. Dis Colon Rectum 46: 1260–1265PubMedCrossRefGoogle Scholar
  31. 31.
    Schlinkert RT, Beart RW, Jr., Wolff BG, Pemberton JH (1985) Anterior resection for complete rectal prolapse. Dis Colon Rectum 28:409–412PubMedCrossRefGoogle Scholar
  32. 32.
    Cirocco WC, Brown AC (1993) Anterior resection for the treatment of rectal prolapse: a 20-year experience. Am Surg 59:265–269PubMedGoogle Scholar
  33. 33.
    Starr KW (1953) Recurrent rectal prolapse; an operative method of treatment. Med J Aust 40:190Google Scholar
  34. 34.
    Chukhrienko DP (1959) [Operative treatment of recurrent and massive forms of rectal prolapse with the use of capron material.]. Vestn Khir Im I I Grek 83:78–83PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Robert D. Madoff
    • 1
  • James W. OgilvieJr.
    • 1
  • Scott R. Steele
    • 2
  1. 1.Department of Surgery Division of Colon and Rectal SurgeryUniversity of MinnesotaMinneapolisUSA
  2. 2.Department of SurgeryMadigan Army Medical CenterTacomaUSA

Personalised recommendations