A Novel Percutaneous Technique for Treating Complete Rectal Prolapse in Adults

作者：Ammar Samir Ahmad^*; Kottb Mohamad B M

来源：Surgical Innovation, 2015, 22(3): 240-244.

DOI：10.1177/1553350614546005

• injection sclerotherapy
• anal cerclage
• rectal prolapse
• sclerosing material

Purpose. To evaluate a new technique for treating complete rectal prolapse in adults that combines injection sclerotherapy with anal encirclement. Methods. From 2008 to 2012, 20 patients were treated using combined perirectal injection sclerotherapy with anal encirclement. The primary outcome was recurrent full-thickness/mucosal rectal prolapse. Results. The mean age of the patients was 39 years. The mean operating time was 17 minutes. Patients had short hospital stays (range = 2-4 days) and rapid recovery with no serious postoperative complications. After a mean follow-up of 22 months, recurrence occurred in 9 patients, and was complete in 6 cases and mucosal in 3 patients. Recurrent mucosal prolapse was treated with a mucosectomy, while recurrent complete rectal prolapse was treated with an open rectopexy with mesh. Conclusion. The combination of perirectal sclerotherapy and anal encirclement for treating complete rectal prolapse in adults is a simple and safe procedure with reasonable outcome. These findings call for confirmatory trials in larger series.

• 出版日期2015-6