Background: Rectal prolapse is a clinical entity characterized by the complete or partial protrusion of the rectum through the anal canal and surgical procedures for rectal prolapse are diverse. There are many abdominal and perineal approach described for rectal prolapsed surgery. At present, laparoscopic surgery is gaining popularity as the treatment of choice for rectal prolapse. However, perineal procedures are still performed in elderly,high-risk patients or in case of recurrence following abdominal surgery.
Objectives:To analyze the patients with rectal prolapse with respect to their demographics, case records, the type of operation performed and operative time.Method: All patients of rectal prolapse who were operated in BPKIHS, between 1 st May 2016 to 30th April 2021(five years) were included in this study. Each patient's medical records were reviewed retrospectively. Results: Total 50 patients of rectal prolapse were operated during the study period. Over the years, perineal procedure out numbered abdominal procedures. Eight patients underwent laparoscopic rectopexy. Two patients had recurrence who underwent re-do surgery.
Conclusion:Both abdominal and perineal approaches are safe and acceptable approach with slightly higher recurrence rate in perineal group. A tailored approach for management of rectal prolapse is considered as key for better outcome and in recent years trend of laparoscopic rectopexy is increasing in our setup.