Perineal excision of the rectum for prolapse in the elderly

Author:

Finlay I G1,Aitchison M1

Affiliation:

1. Department of Surgery, Royal Infirmary, Castle Street, Glasgow G4 0SF, UK

Abstract

Abstract A perineal operation is described for the treatment of rectal prolapse. The surgery improves functional outcome by correcting the anatomical anomalies associated with the condition. In 17 elderly women, there was one perioperative death and one recurrence. At a median follow-up of 24 months, 13 patients were able to control solid stool and three were profoundly incontinent. The operation may be an alternative to the more invasive abdominal procedures for the treatment of the majority of patients with prolapse.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference16 articles.

1. Nineteen years' experience with the one-stage perineal repair of rectal prolapse;Altemeier;Ann Surg,1971

2. Thiersch's operation for anal incontinence;Gabriel;Proc R Soc Med,1948

3. Delorme's operation for complete rectal prolapse;Christiansen;Br J Surg,1987

4. Treatment of rectal prolapse by sphincteric support using silastic rods;Hunt;Br J Surg,1985

5. Delorme's operation: the first choice in complete rectal prolapse?;Monson;Ann R Coll Surg Engl,1986

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