Manoj Kumar Sethy1, A. Jerome Dâ??souza2, Ambuja Satapathy3, Bhanjan Kumar Meher4, Sangram Bal5
BACKGROUND
Rectal prolapse is a condition affecting the patient’s personal and social life making them grossly disabled. From time since the disease was diagnosed, many procedures have been advocated in the past for treating rectal prolapse yet the best method is still debatable. So the purpose of our study is to compare the outcomes of two commonly performed procedures i.e. the modified Thiersch and abdominal rectopexy for complete rectal prolapse among the patients admitted to MKCG Medical College, Berhampur.
MATERIALS AND METHODS
Fifty patients with complete rectal prolapse were studied among which 25 patients underwent abdominal rectopexy using Prolene mesh and 25 patients underwent modified Thiersch repair using a Prolene mesh. It is a prospective study conducted from June 2015 to June 2017. They were followed up for a mean period of 7 months. All cases were analysed for postoperative complications like haemorrhage, wound infection, constipation, bladder and erectile dysfunction. During the followup period, recurrence rate, bowel frequency changes and restoration or deterioration in continence were taken into consideration.
RESULTS
The study group included patients from 17 to 88 years, most of them belonged to the age group of 61-70 (28%). Majority of them were male patients 42 (84%) and 8 (16%) were female patients. The patients who underwent abdominal rectopexy had less morbidity, only 1 (4%) patient had constipation and others had improved functional results with a bowel frequency of 1-2/day in 24 (96%) of the patients compared to the modified Thiersch repair where only 11 (44%) patients had an improved bowel frequency, also 8 (32%) had wound infection, 6 (24%) had incontinence, 3 (12%) had constipation, 2 (8%) had bladder dysfunction, 2 (8%) had haemorrhage.
CONCLUSION
Abdominal rectopexy is a better option than the modified Thiersch repair for complete rectal prolapse in patients who are fit to undergo an abdominal procedure.
