Closed rectopexy with transanal resection for complete rectal prolapse in adults.

Many techniques have been described for repair of complete rectal prolapse in adults. The results of abdominal approaches are superior to those of perineal approaches, but they carry the risks of major abdominal surgery. Twenty-seven patients (15 females and 12 males) were included in this study, with a mean age of 46 years. Nine of these patients had fecal incontinence. The operation can be performed under spinal or general anesthesia. The operation involves transanal resection of the redundant part of the rectum followed by rectopexy through small postanal incisions. The mean follow-up period was 24 months. One patient developed infection in one stab incision 6 months after the operation. Two patients had hematoma formation, which were managed conservatively. During the 2-year period of follow-up, no recurrence was observed in any of our patients. Fecal incontinence improved in the nine incontinent patients. The technique is simple, easy, and less invasive with good results and less morbidity and is not associated with serious complications.