Neorectum prolapse after rectal cancer surgery corrected with perineal stapled prolapse resection

Abstract

A 61-year-old woman developed neorectal prolapse after laparoscopic low anterior resection, total mesorectal excision with partial intersphincteric resection and handsewn coloanal anastomosis for rectal cancer. She presented with a 3 cm full thickness reducible prolapse, with associated anal pain and bleeding. A perineal stapled prolapse resection was performed to address the rectal prolapse, with satisfactory results.

Treatment of side limb full-thickness prolapse of the side-to-end coloanal anastomosis following intersphincteric resection: a case report and review of literature

“…However, being ISR a complex technique with extensive pelvic dissection, long-term complications should be carefully evaluated and reported regularly. Up to date, only 7 reports have described the outcomes and treatments of FMP after ISR [5][6][7][8][9][10][11] (Table 1), while Kuo et al [4] have reported the long-term complications altogether from a series of 108 robotic ISR cases (FMP, n = 16 [14.8%]). However, they did not describe the FMP cases thoroughly so were not considered in the current review [4].…”

“…Up to date, only 7 reports have described the outcomes and treatments of FMP after ISR ( Table 1 ) [ 5 – 11 ], while Kuo et al [ 4 ] have reported the long-term complications altogether from a series of 108 robotic ISR cases (16 FMP cases, 14.8%). However, they did not describe the FMP cases thoroughly so were not considered in the current review.…”

“…Delorme procedure was the most offered to treat FMP (3 studies) [ 5 , 7 , 8 ], followed by Altemeier (1 study) [ 10 ], Gant-Miwa-Thiersch (1 study) [ 9 ], perineal stapled prolapse resection (PSPR; 1 study) [ 11 ], FMP resection and end-to-end anastomosis (1 study) [ 6 ], and side limb resection and conversion to end-to-end anastomosis (1 study).…”

“…Local relapse should be excluded and sphincter tone should be assessed when diagnosing an FMP, after an oncological resection, and before considering a surgical treatment. FMP has no standard treatment with several techniques, prewww.coloproctol.org Treatment of side limb full-thickness prolapse of the side-to-end coloanal anastomosis follow-ing intersphincteric resection: a case report and review of literature Guglielmo Niccolò Piozzi, et al serving the sphincter function and avoiding a definitive colostomy, as reported in the literature (Table 1) [5][6][7][8][9][10][11].…”

“…FMP has no standard treatment with several techniques, preserving the sphincter function and avoiding a definitive colostomy, as reported in the literature ( Table 1 ) [ 5 – 11 ].…”