2000, Number 2
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Cir Gen 2000; 22 (2)
Surgical treatment of the recurring rectal prolapse with proctectomy and colo-anal anastomosis
Cuevas MOF, Cervantes GM, Rodríguez RF, Pulido MMA
Language: Spanish
References: 17
Page: 131-133
PDF size: 33.74 Kb.
ABSTRACT
Objective: To evaluate the usefulness of proctectomy with colo-anal reconstruction to treat recurring rectal prolapse.
Design: Retrospective, transversal, descriptive, observational study.
Setting: Third level health care hospital.
Method: Analysis of cases.
Results: We evaluated six patients, two men and four women. All were over 30 years of age. In five patients, the procedure was elective and in one as emergency treatment. Only one patient presented complications (infection of the surgical wound). None presented dehiscence of the anastomosis and no deaths ocurred.
Conclusion: Total resection of the anus with coloanal anastomosis (Parks’ technique) is a useful procedure to treat rectal prolapse, especially in recurring cases.
REFERENCES
Goligher JC, Duthie HL, Nixon HH. Cirugía del ano, recto y colon. Salvat; México: 1979: 240-79.
Goldberg SM, Gordon PH, Nivatvongs S. Fundamentos de cirugía anorrectal. Limusa; México: 1986: 305-27.
Hochenegg J. Die Sakrale Methode der Extirpation von Mastdarm Krebsen nach Prof Kraske. Wien Klin Wochenschr 1888; 1: 254-272; 290; 309; 324; 348. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Maunsell HW. A new method of excising the two upper portions of the rectum and the lower segment of the sigmoid flexure of the colon. Lancet 1892; 2: 473-6. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon rectum 1989; 32: 690-3.
Weir RF. An improved method of treating high-seated cancers of the rectum. JAMA 1901; 307: 801-3. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Babcock WW. Experiences with resection of the colon and elimination of colostomy. Am J Surg 1939; 46: 186-203. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989;32:690-3.
Bacon HE. Evolution of sphincter muscle preservation and reestablishment of continuity in the operative treatment of rectal and sigmoidal cancer. Surg Gynecol Obstet 1945; 81: 113-27. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Black BM. Combined abdomino-endo-rectal resection: technical aspects and indications. Arch Surg 1952;65:406-16. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Cutait DE, Figlioni FJ. A new method of colorectal anastomosis in abdominoperineal resection. Dis Col Rectum 1961; 4: 335-42. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Turnbull RB Jr, Cuthbertson AM. Abdomino-rectal pulthrough resection for cancer and for Hirschsprung´s disease. Cleveland Clin Q 1961;28:109-15. Citado por Vernava AM, III, Robbins PL, Brabbee GW. Restorative resection: Coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Vernava AM III, Robbins PL, Brabbee GW. Restorative resection: coloanal anastomosis for benign and malignant disease. Dis Colon Rectum 1989; 32: 690-3.
Lane RH, Parks AG. Function of the anal sphincters following colo-anal anastomosis. Br J Surg 1977; 64: 596-9.
Parks AG, Percy JP. Resection and sutured colo-anal anastomosis for rectal carcinoma. Br J Surg 1982; 69: 301-4.
Drake DB, Pemberton JH, Beart RW Jr, Dozois RR, Wolff BG. Coloanal anastomosis in the management of benign and malignant rectal disease. Ann Surg 1987; 206: 600-5
Bernard D, Morgan S, Tasse D, Wassef R. Preliminary results of the colo-anal anastomosis. Dis Colon Rectum 1989; 32: 580-4.
Hautefeuille P, Valleur P, Perniceni T, Martin B, Galian A, Cherqui D, et al. Functional and oncologic results after colo-anal anastomosis for low rectal carcinoma. Ann Surg 1988; 207: 61-4.
Rudd WW. The transanal anastomosis: a sphincter-saving operation with improved continence. Dis Colon Rectum 1979; 22: 102-5.