Thiersch Procedure for Rectal Prolapse

Experiences From a Single Institution

Ren-Hao Chan, Bo Wen Lin, Shao Chieh Lin, Jenq-Chang Lee

Research output: Contribution to journalArticle

Abstract

The Thiersch procedure is a simple and safe surgical management option for rectal prolapse. Herein, experiences—the perioperative factor, functional outcome, recurrence, and complications—from a single institution are reported. Medical records were reviewed to identify patients diagnosed with rectal prolapse, and only patients who underwent the Thiersch procedure. The clinical presentations, perioperative findings, complications, recurrences, and long-term functional outcomes were collated. Twenty-four patients underwent the Thiersch procedure for rectal prolapse between 1995 and 2014. The mean operative time was 55.5 6 25.6 minutes and postoperative wound pain was minor. The major complications were urine retention (29.2%) and wound infection (16.7%). All patients experienced symptom improvement after the operation and recovered their anal tone. Although the Thiersch procedure entails certain recurrence and infection rates, it provides improved functional outcomes and low perioperative risks.

Original languageEnglish
Pages (from-to)10-14
Number of pages5
JournalInternational surgery
Volume102
Issue number1-2
DOIs
Publication statusPublished - 2017 Jan 1

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Rectal Prolapse
Recurrence
Wound Infection
Operative Time
Postoperative Pain
Medical Records
Urine
Wounds and Injuries
Infection

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "The Thiersch procedure is a simple and safe surgical management option for rectal prolapse. Herein, experiences—the perioperative factor, functional outcome, recurrence, and complications—from a single institution are reported. Medical records were reviewed to identify patients diagnosed with rectal prolapse, and only patients who underwent the Thiersch procedure. The clinical presentations, perioperative findings, complications, recurrences, and long-term functional outcomes were collated. Twenty-four patients underwent the Thiersch procedure for rectal prolapse between 1995 and 2014. The mean operative time was 55.5 6 25.6 minutes and postoperative wound pain was minor. The major complications were urine retention (29.2{\%}) and wound infection (16.7{\%}). All patients experienced symptom improvement after the operation and recovered their anal tone. Although the Thiersch procedure entails certain recurrence and infection rates, it provides improved functional outcomes and low perioperative risks.",
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Thiersch Procedure for Rectal Prolapse : Experiences From a Single Institution. / Chan, Ren-Hao; Lin, Bo Wen; Lin, Shao Chieh; Lee, Jenq-Chang.

In: International surgery, Vol. 102, No. 1-2, 01.01.2017, p. 10-14.

Research output: Contribution to journalArticle

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