Surgical Outcomes in Rectal Prolapse: 17-year experience in a private health center in Chile

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dc.contributor.authorGilardoni, Florencia Pinto
dc.contributor.authorVallejos, Alejandro Readi
dc.contributor.authorNúñez, Sebastián Andrés López
dc.contributor.authorGonzález, Marcelo Rodríguez
dc.contributor.authorVillegas, Gonzalo Campaña
dc.date.accessioned2025-06-05T21:44:28Z
dc.date.available2025-06-05T21:44:28Z
dc.date.issued2025
dc.descriptionIndexation Scopus
dc.description.abstractObjective: To describe and evaluate risk factors for recurrence in patients operated on for rectal prolapse. Materials and Methods: Retrospective observational study. Clinical-demographic variables, preoperative study, surgical and postoperative clinical results were analyzed. Results: Twenty-eight patients were analyzed. Female sex predominated in 89,2% with a median age of 56,5 years (range 15-93). External prolapse was present in 64,2%. The surgical indication in patients with internal prolapse was solitary rectal ulcer and defecatory obstruction syndrome. Twenty-four abdominal (85.7%) and four perineal (14.3%) approaches were performed. Only one Clavien Dindo III complication was reported and there was no mortality. Constipation improved in 78.5%. There were 4 (14.2%) patients with recurrence, but no significant risk factors were found. When comparing the techniques with abdominal and perineal approach, there were significant differences in age (52.8 vs. 89.7 p0.0006) and ASA (p0.0113). The mean follow-up was 22.3 months. Discussion: The literature does not show clarity regarding risk factors for recurrence. Our data show a certain tendency to a higher risk in those patients with preoperative incontinence, presence of rectocele or enterocele and parity greater than 2, although without significance. When comparing abdominal and perineal techniques, there was less recurrence in abdominal techniques, without significance (p = 0.481). Conclusion: Rectal prolapse surgery is safe, has a low complication rate and high rate of improvement of preoperative constipation. No risk factors for recurrence were found. © 2025, Sociedad de Cirujanos de Chile. All rights reserved
dc.description.accesoabiertoSI
dc.description.urihttps://revistacirugia.cl/index.php/revistacirugia/article/view/2316/880
dc.identifier.doi10.35687/s2452-454920250012316
dc.identifier.generoM
dc.identifier.issn24524557
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/65124
dc.language.isoes
dc.publisherRevista de Cirugia, Volume 77, Issue 1, Pages 6 - 112025
dc.rights.licenseAttribution 4.0 International CC BY 4.0 Deed
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectclinical article
dc.subjectconstipation
dc.subjectfemale
dc.subjecthealth center;
dc.subjecthuman
dc.subjectmale
dc.subjectobservational study
dc.subjectprivate hospital
dc.subjectrectum prolapse
dc.subjectrecurrent disease
dc.subjectretrospective study
dc.subjectrisk factor
dc.subjectsurgical technique
dc.subjecttreatment outcome
dc.titleSurgical Outcomes in Rectal Prolapse: 17-year experience in a private health center in Chile
dc.title.alternativeResultados quirúrgicos en el prolapso rectal: Experiencia de 17 años en un centro de salud privado en Chile
dc.typeArtículo
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