Patients in the RG were classified according to the surgical procedure: right hemicolectomy, left hemicolectomy, or rectosigmoidectomy. Secondary outcomes included factors associated with adequate preparation in RG, which were expressed as odds ratios (ORs).
Patients in the RG were classified according to the intervention type-right hemicolectomy, left hemicolectomy, and rectosigmoidectomy-with the following distribution: left hemicolectomy (10%), right hemicolectomy (34%), and rectosigmoidectomy (56%).
In one Cleveland Clinic Florida series of 84 patients with severe fecal incontinence and rectal prolapse treated over a 7-year period, those who were treated with both had significantly lower recurrence rates and decreased incontinence scores, compared with those who underwent only perineal rectosigmoidectomy, Dr.
The recurrence rate there for all perineal procedures is about 13%, compared with 5% for perineal rectosigmoidectomy with levatorplasty, and the recurrence-free interval was longer in this group of patients, he added.
Rectosigmoidectomy plus levatoroplasty is therefore the operation of choice when the perineal approach is selected for the treatment of rectal prolapse, as is common in frail elderly patients with multiple medical problems.
Mean operative time was significantly longer in the group undergoing perineal rectosigmoidectomy plus levatoroplasty However, there was no difference between the two groups in overall 30-day operative morbidity.