Primary and repeated perineal stapled prolapse resection

• Published in: Techniques in coloproctology 2016-12, Vol.20 (12), p.853-857
• Main Authors: Raahave, D., Jensen, A. K., Dammegaard, L., Pedersen, I. K.
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Aged; Aged, 80 and over; Colorectal Surgery; Female; Follow-Up Studies; Gastroenterology; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Operative Time; Original Article; Perineum - surgery; Proctology; Rectal Prolapse - surgery; Recurrence; Reoperation - methods; Reoperation - statistics & numerical data; Surgery; Surgical Stapling - methods; Surgical Stapling - statistics & numerical data; Time Factors; Treatment Outcome
• ISSN: 1123-6337; 1128-045X
• DOI: 10.1007/s10151-016-1557-9

Background Previous studies of the outcome after perineal stapled prolapse resection (PSPR) have included a limited number of patients with a short follow-up and high recurrence rates. The present study was designed to assess the initial results, complications, recurrence rate, and outcomes up to 4 years after PSPR, as well as the need for a repeated procedure. Methods Fifty-four consecutive patients with rectal prolapse (mean age 77.2 years, range 46–93 years; n  = 3 men) were selected for PSPR between May 2009 and February 2015. Prolapse length was measured at baseline and after surgery. Patients were asked to grade intensity of symptoms as a satisfaction score of 1–10, 10 representing being symptom-free. Results The mean operation time was 45.3 min (SD = 17.5, range 25–95 min). The mean rectal prolapse length was reduced significantly from 9.5 cm (SD = 5.0, range 4–30 cm) to 1.2 cm (SD = 2.6, range 0–10 cm; p