A Clinical Study of Complete Rectal Prolapse Treated with PPH+Thiersch Operation for Minimally Invasive Surgery

Yasuo Kabeshima, Nobuko Tano, Noriaki Kameyama, Atsushi Toizumi, Yoichiro Tamura and Takahisa Kageyama

Department of Surgery, Kasumigaura Medical Center

Many patients with complete rectal prolapse are elderly, and their medical histories pose a risk factor for general anesthesia and open laparotomy. We studied whether these patients would be better treated by minimally invasive surgery. Subjects were 8 patients (1 man and 7 women) with complete rectal prolapse who underwent PPH+Thiersch operation between 2001 and 2003. Median follow-up was 25 months. Parameters, including operative time, blood loss, use of analgesics, WBC (1 POD), CRP (1 POD), postoperative hospital stay, and complications were recorded and analyzed. The average patient age was 81.0 years. The mean operative time was 28.5 minutes and blood loss 0 ml. None required analgesics. There was 1 recurrence (12.5%), but no mortality or any complications occasionally encountered in other perineal procedures. These results indicate that PPH+Thiersch operation is the procedure of one choice in surgery for complete rectal prolapse in high-risk patients.

Key words
procedure for prolapse and hemorrhoids, thiersch operation, complete rectal prolapse

Reprint requests
Yasuo Kabeshima Department of Surgery, Kasumigaura Medical Center
2-7-14 Shimotakatsu, Tsuchiura-shi, 300-8585 JAPAN

Accepted
June 30, 2004

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