Management of Adult Rectal Prolapse in the Department of Chirurgie A of the University Hospital Center of Point G about 40 Cases
- 1 University Hospital Center of Point-G, Bamako, Mali
- 2 University Hospital Center of Point-G, Bamako, Mali
- 3 University Hospital Center of Point-G, Bamako, Mali
- 4 University Hospital Center of Point-G, Bamako, Mali
- 5 University Hospital Center of Kati, Bamako, Mali
- 6 Hospital of District Commune IV, Bamako, Mali
- 7 University Hospital Center of Point-G, Bamako, Mali
- 8 University Hospital Center of Point-G, Bamako, Mali
- 9 University Hospital Center of Point-G, Bamako, Mali
- 10 University Hospital Center of Point-G, Bamako, Mali
- 11 University Hospital Center of Point-G, Bamako, Mali
- 12 University Hospital Center of Point-G, Bamako, Mali
Abstract
Aim: Reporting the department’s experience in managing adult rectal prolapse . Methods: A descriptive study was conducted in the department of chirurgie A of the chu of point G. All patients operated on for rectal prolapse in the Department of Surgery “A” were included . Technics used were altemeier procedure and anoplasty . Results: 40 cases of complete rectal prolapse were identified . The sex ratio was 1.42. Average age was 50 years. During the study period, rectal prolapse accounted for 0.13% of all pathologies encountered (n = 40) and 3.37% of anorectal pathologies. Locoregional anesthesia was performed in all patients. In the series, 36 patients (90%) were operated on using the Altemeier procedure, anal cerclage was performed in 3 patients (7.5%), and anoplasty was performed in one patient (2.5%). Postoperative mortality was 2.5% (n = 1). The postoperative follow - up was simple in 95% of cases (n = 38). Anal stenosis was found in one patient (2.5%). Conclusion: Low-way surgery remains one of the preferred options for weakened patients exposed to anesthetic risks.
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