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STUDY TO KNOW THE SURGICAL OUTCOME OF PATIENTS WITH COMPLETE RECTAL PROLAPSE

Dr. Zainab Bilal, Dr Hafiza Tuba Tariq, Dr. Omer Farooq

Objective: To evaluate the results of patients with complete rectal prolapse. Study Design: A Case series study. Place and Duration: In Allied Hospital Faisalabad this study was conducted for three year duration from January 2015 to January 2019. Methods: A total of 24 patients were examined. The study included complete rectal prolapse including men and women older than 12 years. All patients with low gastrointestinal symptoms, ie bleeding from the rectum, tenesmus, pain and anus are examined according to history and examination. We recommended abdominal rectopexy, anterior resection and abdominal suture to these patients. Patients were followed to record any complication and recurrence. Results: A total of 24 patients were included in our study. Eighteen (75%) were male and six female (25%). All patients (24) complained about something coming out from the anus and discomfort. The duration of symptoms in 3 patients was less than 2 years, in 15 subjects 3-5 years and in six patients more than 6 years. 21 patients underwent resection of Wells, 2 patients underwent resection and one patient underwent their suture. Materials used were ivolone sponge in 3 patients, merslene mesh (5 patients) and prolene mesh (13 patients). Postoperative complications were pelvic abscess, wound infection (2 patients) and constipation (4 patients). There was no postoperative sudden death. Conclusion: In conclusion, Wells' abdominal rectopexy is a technically feasible method, with zero recurrence rate, short hospital stay and improved continence in most of our patients. Key words: Complete rectal prolapse, prolene mesh, Wells abdominal rectopexy.

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