An abdominal repair for complete rectal prolapse.
A modified sling rectopexy to the sacrum was performed in a series of 104 patients with complete rectal prolapse during 1975-86. A sling of mersilene mesh was sutured to the front of the sacrum and to the sides of the rectum without enclosing its anterior surface. A postoperative mortality of 2% and morbidity of 23% were found. Control of the prolapse was achieved in over 90% of cases and the continence rate rose from a preoperative level of 37% to 86% postoperatively. This form of abdominal repair is an effective method of correcting complete rectal prolapse in the majority of cases.
Cuthbertson
A M
AM
Colorectal Surgery Service, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Smith
J A
JA
D000009:Abdominal Muscles / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D002648:Child; D003248:Constipation / Q000150:complications; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012005:Rectal Prolapse / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012447:Sacrum; D013526:Surgical Mesh; D013536:Suture Techniques