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Rivista di Chirurgia
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2016 Ottobre;29(5):159-62
Rectal prolapse: our ten-years’ experience
Murat CAKİR, Yusuf YAVUZ, Ahmet TEKİN, Tevfik KUCUKKARTALLAR, Mehmet M. BELVİRANLI, Ömer KARAHAN
Department of General Surgery, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
BACKGROUND: In this paper we discuss our ten-year experience about rectal prolapse according to literature.
METHODS: The study consisted of 60 patients with the diagnosis of rectal prolapse which diagnosed and operated at Necmettin Erbakan University Meram Medical Faculty, Department of general surgery clinic. The study was performed retrospectively approved by the ethics committee. Our study covers patients’ gender, age, clinical, preoperative evaluation, surgery and post-operative situations.
RESULTS: Patients’ 43.3% was male, 56.7% was female. The average age was 51.2. There were complaints in all patients prolapse through the anus. Twenty percent of patients were additional complaints such as bleeding, pain, constipation and incontinence. In the preoperative period proctologic examination, colonoscopy, abdominal ultrasound and defecography were performed. Notaras procedure was the most frequently used method of operation. Thiersch procedure was preferred in patients with emergent incarcerated cases. The average follow up time was 5.95 year. After surgery 86.7% of patients did not have any complaints.
CONCLUSIONS: Abdominal or perianal interventions can be applied with low risk of complications considering to the patient’s condition and experience of the center. At emergent incarcerated cases can be treated step by step. Developing incontinence after surgery is improving at a greater rate with biofeedback therapy. We believe that application of mesh has fewer complications than specified in the literature.