Rectopexy to the promontory for the treatment of rectal prolapse

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Abstract
From 1953-1982, 257 patients with complete rectal prolapse were operated on. To the procedure described by Orr, mobilization of the rectum prior to its suspension was added, and the pouch of Douglas was eliminated and nylon strips were used for suspension in most patients. There were 57 male and 200 female patients. Ages ranged from 11-90 yr. Patients (61) had already undergone surgery for rectal prolapse with another procedure and prolapse had recurred. The postoperative course was uneventful in 96% of patients. Two patients, aged 79-83 yr, died of cardiac failure. Follow-up of 115 patients ranged from 5-23 yr. Recurrent rectal prolapse was observed in 4.3% of the patients in whom nylon strips were used to suspend the rectum. In 136 patients anal incontinence was associated with rectal prolapse. Normal continence was restored in 84.1% of 107 patients with rectopexy alone and in 64.2% of 14 patients who underwent rectopexy and anal sphincter repair. Rectopexy to the promontory with nylon strips after mobilization of the rectum is a safe and efficient procedure for the treatment of rectal prolapse.

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