Published online Oct 16, 2021. doi: 10.12998/wjcc.v9.i29.8702
Peer-review started: June 10, 2021
First decision: July 5, 2021
Revised: July 13, 2021
Accepted: August 6, 2021
Article in press: August 6, 2021
Published online: October 16, 2021
Processing time: 127 Days and 0.5 Hours
Although rectal prolapse is not a life-threatening condition, it can cause defecation disorders, anal incontinence, sensory abnormalities, and other problems that can seriously affect quality of life.
To study the efficacy of the modified Gant procedure for elderly women with internal rectal prolapse.
Sixty-three elderly female patients with internal rectal prolapse underwent the modified Gant procedure. The preoperative and postoperative anal symptoms, Patient Assessment of Constipation Quality of Life (PAC-QOL), Wexner incontinence score, incontinence quality of life score, and complications (massive hemorrhage, infection, anorectal stenosis, and anorectal fistula) were compared.
The improvement rates of postoperative symptoms were defecation disorders (84.5%), anal distention (69.6%), defecation sensation (81.4%), frequent defecation (88.7%), and anal incontinence (42.9%) (P < 0.05). All dimensions and total scores of the PAC-QOL after the procedure were lower than those before the operation (P < 0.05). The postoperative anal incontinence score and Wexner score were significantly lower than those before the procedure (P < 0.05). The quality of life and total scores of postoperative anal incontinence were significantly higher than those before the procedure (P < 0.05). There were no serious complications and no deaths.
The modified Gant procedure has significant advantages in the treatment of elderly women with internal rectal prolapse.
Core Tip: Intrarectal prolapse in elderly patients, who have low tolerance for surgery, is often complicated by medical diseases. In this study, we explored a new kind of operation with a reliable curative effect, few postoperative complications and tolerance by elderly women with intrarectal prolapse.