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Perineal excision of rectal procidentia in elderly high-risk patients: A ten-year experience.

Ramanujam, Paravasthu S. M.D.; Venkatesh, Karukurichi S. M.D.; Fietz, Mary J. M.D.
Diseases of the Colon & Rectum: October 1994
doi: 10.1007/BF02049318
Original Contributions: PDF Only

PURPOSE: This report presents a ten-year experience with perineal excision and posterior levator ani repair in elderly, high-risk patients with complete rectal procidentia.

METHODS: Seventy-two patients with rectal prolapse were treated with perineal excision. Nine presented with acute incarcerated rectal prolapse. Mortality, morbidity, recurrence rates, and improvement of anal continence were assessed.

RESULTS: Recurrence rate was 5.5 percent. Improvement in anal continence was seen in 66.7 percent of patients. Morbidity and mortality was low.

CONCLUSIONS: Perineal excision of rectal prolapse is safe and has a low recurrence rate. Posterior levator ani repair seems to improve anal continence.

(C) The ASCRS 1994