TITLE:
Management of Adult Rectal Prolapse in the Department of Chirurgie A of the University Hospital Center of Point G about 40 Cases
AUTHORS:
Sacko Oumar, Soumare Lamine, Soumare Ganda, Traore Mamadou Salia, Traore Issa, Dianessy Yely, Keita Sidiki, Sissoko Moussa, Coulibaly Bruno Soulemane, Coulibaly Mahamadou, Traore Adama Famoussa, Keita Soumaila
KEYWORDS:
Rectal Prolapse, Surgery, Low-Way Surgery
JOURNAL NAME:
Surgical Science,
Vol.14 No.6,
June
28,
2023
ABSTRACT: Aim: Reporting the department’s experience in managing
adult rectal prolapse. Methods: A descriptive study was conducted
in the department of chirurgie A of the chu of point G. All patients operated
on for rectal prolapse in the Department of
Surgery “A” were included. Technics used were altemeier
procedure and anoplasty. Results: 40 cases of complete rectal
prolapse were identified. The sex ratio was 1.42. Average age was 50 years.
During the study period, rectal prolapse accounted for 0.13% of all pathologies
encountered (n = 40) and 3.37% of anorectal pathologies. Locoregional
anesthesia was performed in all patients. In the series, 36 patients (90%) were
operated on using the Altemeier procedure, anal cerclage was performed in 3
patients (7.5%), and anoplasty was performed in one patient (2.5%).
Postoperative mortality was 2.5% (n = 1). The postoperative follow-up was simple in 95% of
cases (n = 38). Anal stenosis was found in one patient (2.5%). Conclusion: Low-way surgery remains one of the preferred options for weakened patients
exposed to anesthetic risks.