Short-Term Outcomes of Rectal Mucosa Sleeve Resection and Transverse Perineal Support Operation for Occult Rectal Prolapse, Rectocele and Descending Perineum: A Single Center and Single Team Experience

Document Type : Brief Report

Authors

CPR - Centro Proctologico in Romagna, Forlì Private Hospital, Forlì, Italy

10.5812/acr.89956.

Abstract

Occult rectal prolapse is a pathological condition that mainly affects women and is frequently associated with obstructed defecation.
Numerous surgical procedures have been advocated for treating patients with obstructed defecation. In this study, we performed
a retrospective analysis of the short-term surgical outcomes of combining internal mucosal resection with transverse perineal
support in a single center with expertise in anorectal surgery. Resolution in obstruction symptoms was achieved with low
morbidity. The use of sleeve resection of the rectal mucosa is a well-known and established procedure for occult rectal prolapse in
obstructed defecation syndrome patients. Transverse perineal support operation has been recently adopted to correct defects of
the perineum. In our preliminary experience, we report a combination in surgical techniques never described in the literature. Our
preliminary results suggest that the technique is feasible, safe and reproducible. More patients and longer follow-up are required
to be able to draw stronger conclusions.

Keywords

References

1.Ganio E, Giani I. Treatment of rectal intussusception by internal Delorme procedure. In: Altomare DF, Pucciani F, editors. Rectal prolapse. Springer, Milano; 2008. p. 63–70. doi: 10.1007/978-88-470-0684-3_8.
2. Broekhuis SR, Hendriks JC, Futterer JJ, Vierhout ME, Barentsz JO, Kluivers KB. Perineal descent and patients’ symptoms of anorectal dysfunction, pelvic organ prolapse, and urinary incontinence. Int Urogynecol J. 2010;21(6):721–9. doi: 10.1007/s00192-010-1099-z. [PubMed: 20135303]. [PubMed Central: PMC2858277].
3. Bordeianou L, Paquette I, Johnson E, Holubar SD, Gaertner W, Feingold DL, et al. Clinical practice guidelines for the treatment of rectal prolapse. Dis Colon Rectum. 2017;60(11):1121–31. doi: 10.1097/DCR.0000000000000889. [PubMed: 28991074].
4. Yoon SG. Rectal prolapse: review according to the personal experience. J Korean Soc Coloproctol. 2011;27(3):107–13. doi: 10.3393/jksc.2011.27.3.107. [PubMed: 21829764]. [PubMed Central: PMC3145880].
5. Ellis CN, Essani R. Treatment of obstructed defecation. Clin Colon Rectal Surg. 2012;25(1):24–33. doi: 10.1055/s-0032-1301756. [PubMed: 23449341]. [PubMed Central: PMC3348733].
6. Renzi A, Brillantino A, Di Sarno G, d’Aniello F, Bianco P, Iacobellis F, et al. Transverse perineal support: A novel surgical treatment for perineal descent in patients with obstructed defecation syndrome. Dis Colon Rectum. 2016;59(6):557–64. doi: 10.1097/DCR.0000000000000573. [PubMed: 27145314].
7. Senapati A, Nicholls RJ, Thomson JP, Phillips RK. Results of Delorme’s procedure for rectal prolapse. Dis Colon Rectum. 1994;37(5):456–60. [PubMed: 8181407].
8. Plusa SM, Charig JA, Balaji V, Watts A, Thompson MR. Physiological changes after Delorme’s procedure for full-thickness rectal prolapse. Br J Surg. 1995;82(11):1475–8. [PubMed: 8535796].
9. Cantarella F, Magni E. Simultaneous sarles and transverse perineal support operation for the treatment of occult rectal prolapse, rectocele and perineal descent in patients with obstructed defecation syndrome. J Gastrointest Dig Syst. 2018;5(11).
10. Cantarella F, Magni E. Conservative management of septic complication after internal Delorme procedure for occult rectal prolapse and rectocele in obstructed defecation syndrome. Tech Coloproctol. 2018;22(10):817–8. doi: 10.1007/s10151-018-1870-6. [PubMed: 30411282].
11. Emile SH, Elbanna H, Youssef M, Thabet W, Omar W, Elshobaky A, et al. Laparoscopic ventral mesh rectopexy vs. Delorme’s operation in management of complete rectal prolapse: A prospective randomized study. Colorectal Dis. 2017;19(1):50–7. doi: 10.1111/codi.13399. [PubMed: 27225971].
Iranian Journal of Colorectal Research
Volume 7, Issue 2
June 2019
Pages 1-5

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