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Clin Colon Rectal Surg 2003; 16(4): 263-270
DOI: 10.1055/s-2004-815619
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Perineal Proctosigmoidectomy: The Procedure of Choice for Rectal Prolapse

Sharon G. Gregorcyk
  • Department of Surgery, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas
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Publication History

Publication Date:
12 January 2004 (online)

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ABSTRACT

The best surgical repair for rectal prolapse remains controversial. There are two vastly different surgical approaches: perineal and abdominal. Although the abdominal approach has a lower recurrence rate, perineal procedures spare the patient the pain and complications of abdominal surgery. While the surgery performed should be tailored to the individual patient, the question remains as to which approach is superior. This article objectively reviews the literature and demonstrates why the perineal proctosigmoidectomy is the better operation for repairing rectal prolapse.

KEYWORDS

Rectal prolapse - perineal proctosigmoidectomy - recurrence - morbidity - function - costs

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