Entrar/Registro  
HOME SPANISH
 
Cirugía y Cirujanos
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirugía y Cirujanos >Year 2007, Issue 6


Herrera-Ramírez J, Andrade-Ibáñez A, González-Velásquez F, Morales-Guzmán MI, Martínez-Mier G
Rectal prolapse. Surgical experience with helicoidal suture and anoplasty: short hospital stay
Cir Cir 2007; 75 (6)

Language: Español
References: 8
Page: 453-457
PDF: 81.88 Kb.

[Full text - PDF]

ABSTRACT

Objective: We undertook this study to describe and analyze our experience with rectal prolapse treated by helicoidal suture and anoplasty at the Colorectal Service, Centro Médico Nacional, Adolfo Ruiz Cortines, Veracruz, México.
Methods: An ambispective study from 1999 to 2006 was performed in patients with rectal prolapse by chart review and outpatient clinic visit. All patients underwent helicoidal suture and anoplasty.
Results: Thirty two patients underwent surgery (12 males and 20 females). The mean age was 61.3 ± 20.88 years (range: 21-94 years). History of rectal prolapse was from 1 month to 48 years. The most common symptoms were anal mass sensation, fecal incontinence, mucous discharge, rectal bleeding, chronic constipation and pain. Nineteen patients had a significant prior medical history and past surgical history. In-hospital stay was ‹24 h in 62.5% of procedures. There were no surgical complications. Two recurrences were documented and 28 patients had a minimum 12-month follow-up. To date, we have not documented any counter-referrals regarding complications or recurrences from primary care physicians.
Conclusions: Helicoidal suture and anoplasty is an effective technique in rectal prolapse patients that offers certain advantages such as shorter in-hospital, rapid postoperative recovery, less surgical time and low recurrence rate.


Key words: Rectal prolapse, helicoidal suture, anoplasty.


REFERENCES

  1. Villanueva-Sáenz E, Hernández Magro-Martínez P, Álvarez-Tostado J. Helicoidal suture: alternative treatment for complete rectal prolapse in high-risk patients. Int J Colorectal Dis 2003;18:45-49.

  2. 2. Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg 2005;140:63-73.

  3. 3. Antao B, Bradley V, Roberts JP, Shawis R. Management of rectal prolapse in children. Dis Colon Rectum 2005;48:1620-1625.

  4. 4. Kairaluoma MV, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Scand J Surg 2005;94:207-210.

  5. 5. Goligher J. Prolapso Rectal. Cirugía del Ano, Recto y Colon. 2nd ed. México: McGraw-Hill;1987. pp. 235-273.

  6. 6. Hernández Magro-Martínez P, Villanueva-Sáenz E, Álvarez-Tostado J. Tratamiento quirúrgico del prolapso rectal complete. Experiencia en el servicio de cirugía de colon y recto. Rev Gastroenterol Mex 2003;68:185-191.

  7. 7. Korenkov M, Junginger T. Rectal prolapse in adults¾causes, diagnostic, treatment. Zentrabl Chir 2005;130:544-549.

  8. 8. Kim DS, Tsang CB, Wong WD, Lowry AC, Goldberg SM, Madoff RD. Complete rectal prolapse. Evolution of management and results. Dis Colon Rectum 1999;42:460-469.






>Journals >Cirugía y Cirujanos >Year 2007, Issue 6
 

· Journal Index 
· Links 
       
Copyright 2010