Saudi Journal of Medicine and Public Health
Multidisciplinary Management of Complete Rectal Prolapse: Surgical Approaches, Laboratory Assessment, Nursing Care, and Postoperative Outcomes
By Khaled Hassan Alanazi, Tasneem Hejje ALKHAIBARI, Nawal Mubarak Alkhudran and 6 others.
Abstract
Background
Complete rectal prolapse is a debilitating condition characterized by protrusion of the entire rectal wall through the anus. It can cause constipation, fecal incontinence, rectal bleeding, mucus discharge, and impaired quality of life. Although surgery is the primary treatment, recurrence and postoperative complications remain important clinical challenges.
Aim
This review aims to summarize the principal surgical approaches for complete rectal prolapse, highlighting their indications, operative principles, advantages, limitations, outcomes, and complications.
Methods
A narrative review of the available literature was undertaken, focusing on abdominal and perineal surgical techniques for complete rectal prolapse. The reviewed approaches included suture rectopexy, ventral mesh rectopexy, Wells rectopexy, Ripstein rectopexy, Mikulicz’s procedure, Delorme’s procedure, Altemeier’s procedure, perineal stapled prolapse resection, and Thiersch’s operation. Evidence concerning recurrence, postoperative complications, and the role of minimally invasive surgery was also considered.