Transanal rectal resection by circular stapler for rectal prolapse: A prospective cohort study

Abstract

Background: Rectal prolapse surgery aims to correct the condition, improve continence, and prevent constipation. Current treatments have issues, but the author developed TRRPCS, an innovative approach to effectively address rectal prolapse and associated functional issues. Design: Observational prospective study. Objective: To explore effectiveness and long term outcomes of TRRPCS (Trans-anal Rectal Resection of Prolapse by Circular Stapler). Settings: Single centre. Patients and Methods: All subjects underwent Transanal Rectal Resection by Circular stapler for prolapse. Patients have been followed for two years and telephonic follow-up was planned for five years. Main Outcome Measures: Pre and postoperative ODS scores and Wexner fecal incontinence score were obtained to evaluate symptomatic outcomes. Improvement in Longo's ODS score system, Wexner fecal incontinence score and subjective overall satisfaction of patients were used for evaluation. Sample Size: 91. Results: In a study of 91 patients (aged 41-60), TRRCS procedure had a median surgery time of 40 minutes and a median hospital stay of 24 hours. Normal activities resumed within 5 days. Complications included pain, burning, urgency, bleeding, and loose motions. Significant improvement was observed in Longo and Wexner scores. 78.85% of patients were highly satisfied. One patient experienced mucosal prolapse, treated successfully. No other recurrences were reported during a follow-up of up to seven years. Conclusion: TRRPCS: Safe, minimally invasive daycare procedure improves incontinence, corrects constipation without sexual dysfunction. Low recurrence rate (1.1%) with long-term follow-up. Limitations: Single institution, Non comparative data. Conflict of Interest: No conflict of interest declared.