Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients.
OBJECTIVE
Optimal treatment for rectal prolapse is controversial. We describe a novel alternative treatment for high-risk patients with complete rectal prolapse.


METHODS
Sixteen high-risk patients over 60 years old with complete rectal prolapse were examined. All patients had significant past medical history and were classified as grade III (ASA) surgical risk. The helicoidal suture technique is described. Postoperative parameters evaluated were morbidity, mortality, postoperative symptoms, recurrence and anal incontinence score. Median follow-up was 60 months.


RESULTS
There were no operative complications or mortality in the series; one patient experienced recurrence. Median postoperative anal incontinence score was 6.06 (range 1-30; preoperative 23.6).


CONCLUSIONS
This technique provides adequate functional outcomes and could be an effective therapeutic strategy against rectal prolapse in high-risk patients.
Villanueva Sáenz
Eduardo
E
Camino Santa Teresa No. 1055, Col. Héroes de Padierna, C.P. 10700, Torre Angeles 927, México City, Mexico. edvilla@netservice.com.mx
Martínez Hernández-Magro
Paulino
P
Alvarez-Tostado Fernández
José Fernando
JF
D000368:Aged; D000369:Aged, 80 and over; D002400:Cathartics / Q000627:therapeutic use; D000529:Complementary Therapies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000150:complications / Q000453:epidemiology / Q000601:surgery; D012008:Recurrence; D012307:Risk Factors; D013536:Suture Techniques; D016896:Treatment Outcome
D002400:Cathartics