Revista chilena de cirugía
versión On-line ISSN 0718-4026
MANSILLA E, JUAN ANDRÉS et al. Lomas-Cooperman technique for the treatment of complete rectal prolapse in the elderly. Rev Chil Cir [online]. 2006, vol.58, n.3, pp. 213-218. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262006000300010.
Background: Sphincteric support with an external material is one of the perineal techniques used for the treatment of rectal prolapse. Lomas-Cooperman technique uses a polypropylene mesh for this purpose. Aim: To analyze the results of Lomas-Cooperman technique among elderly patients with severe associated diseases. Material and Methods: Retrospective analysis of 22 patients, (20 females) aged 72-93 years, with total rectal prolapse and severe associated diseases, operated with the Lomas-Cooperman technique. A polypropylene mesh that completely surrounded the anal channel, was inserted by the perineum. Results: Regional anesthesia was used and the mean operative time was 35 min (range 20-60 min). Mean hospital stay was 4.5 days (range 2-17). The complication rate was 30%, being urinary infection the most common, in 18%. Mean followup was 32 months (range 4-84). In four, the mesh externalized and required trimming, that was performed in an outpatient basis. In two patients, the prolapse recurred and required a new support, with a satisfactory evolution. Anal soiling decreased from 73 to 32% and continence improved in 86% of patients. Conclusions: Anal support with Lomas-Cooperman technique is a simple and effective method for the treatment of rectal prolapse in high risk patients
Palabras clave : Rectal prolapse; rectal support; incontinence.