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ORIGINAL RESEARCH article

Front. Surg.
Sec. Colorectal and Proctological Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1492690

Addition of Anal Encirclement to Perineal Proctosigmoidectomy: A Retrospective Review

Provisionally accepted
Aiya Amery Aiya Amery 1Kayla Marritt Kayla Marritt 1Zarrukh Baig Zarrukh Baig 1,2*Haven Roy Haven Roy 1Dilip Gill Dilip Gill 1Nathan Ginther Nathan Ginther 1
  • 1 University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  • 2 University of British Columbia, Vancouver, British Columbia, Canada

The final, formatted version of the article will be published soon.

    The optimal approach for the surgical management of rectal prolapse is individualized based on anatomical, functional, and surgical factors. In patients with significant comorbidities, perineal approaches are often preferred even though they are associated with higher recurrence rates compared to an abdominal approach. Although anal encirclement was one of the first procedures described for this condition, it is seldom employed given its high recurrence rates. There is currently a lack of data addressing a combination surgery, wherein both a perineal proctosigmoidectomy and anal encirclement are performed simultaneously.Aims: To evaluate the efficacy of combining perineal proctosigmoidectomy with anal encirclement using Nylon sutures compared to perineal proctosigmoidectomy alone.

    Keywords: Perineal proctosigmoidectomy, Altemeier, Thiersch, anal encirclement, Rectal Prolapse This was a single institution, non-randomized, Retrospective study

    Received: 07 Sep 2024; Accepted: 13 Jan 2025.

    Copyright: © 2025 Amery, Marritt, Baig, Roy, Gill and Ginther. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zarrukh Baig, University of Saskatchewan, Saskatoon, S7N 5A2, Saskatchewan, Canada

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