Pouch perineal rectosigmoidectomy gives better functional results than conventional rectosigmoidectomy in elderly patients with rectal prolapse

Abstract

Abdominal rectopexy with or without resection has become the operation of choice for rectal prolapse because of a low recurrence rate, but it is a major operation for elderly, infirm patients with a short life expectancy(1). In this group, a perineal procedure is often preferred using either the Delorme's operation(2) or rectosigmoidectomy(3), but recurrence rates are variable and can be high(4,5).