Title

Comparison between two perineal procedures for

treatment of rectal prolaps

BY

Ahmed Mohamed Abozid, Nabila Mohamed A. Shams, , Yahia Hassan Zayed, Sayid Mostafa …..

Surgical department, faculty of medicine for girls, Al Azhar university

ABSTRACT

         The optimal surgical procedures for the management of rectal prolapse is still under debate so comparison between two operations were done in our series. Eighteen patients with complete rectal prolaps were treated surgically through the perineum they were divided into two groups. First group were treated by recto-segmoidectomy and levatroplasty to fortify the pelvic floor, the second group were treated by rectopexy using prolene mesh and levetroplasty to fortify the pelvic floor, the mesh was inserted between the rectum and sacrum and fixed through perineal incision. The recurrence rate in group II was less than group I ( 11% and 33,3% respectively), while the improvement of incontinence was (83.3% and 71.4% respectively) in both groups. There was no significant difference in hospital stay among both groups. Also there were no other cases of postoperative complications such as anastomotic leak or stricture, affection of the bladder dysfunction in both groups.   

Aim of work

          The aim of this work  was to compare the short-term outcome of two different  perineal operative procedures in patients with full thickness rectal prolaps. 

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