{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T18:19:43Z","timestamp":1780942783568,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T00:00:00Z","timestamp":1265155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We can divide surgery for rectal prolapse into two broad categories: abdominal and perineal. However, few studies compare the long\u2010term outcomes and quality of life among operations for full\u2010thickness rectal prolapse. The purpose of this study was to compare abdominal (AO) versus perineal (PO) procedures for the treatment of full\u2010thickness rectal prolapse regarding recurrence rate, incontinence, constipation, and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records of 177 operations from 1995 to 2001 were reviewed retrospectively. A telephone survey was attempted for all. Seventy\u2010five (42%) responded to the Cleveland Clinic Incontinence Score (CCIS), KESS Constipation Score (KESS\u2010CS), and SF\u201036 Quality of Life Score. Appropriate statistical analysis was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the 122 AO and 55\u00a0PO, there were no deaths. Mean follow\u2010up was similar (PO 3.1 vs. AO 3.9 years; <jats:italic>P<\/jats:italic> = 0.306). As expected the PO patients were older (mean 69 vs. 55 years) and had higher ASA scores. Those undergoing PO had less procedural blood loss, operative time, hospital stay, and dietary restriction. The PO group also scored worse on the physical component of SF\u201036 (PO 33 vs. AO 39.6; <jats:italic>P<\/jats:italic> = 0.034). However, the rate of recurrent prolapse was significantly higher for the PO (PO 26.5% vs. AO 5.2%; <jats:italic>P<\/jats:italic> &lt; 0.001). Complications, CCIS, KESS\u2010CS, and SF\u201036\u00a0mental component were similar in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In full\u2010thickness rectal prolapse, elderly, sick patients are selected for a perineal operation. The morbidity, functional outcomes, and quality of life are acceptable. However, the high recurrence rates make the perineal operation a second\u2010best choice for younger, healthy patients.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-010-0429-0","type":"journal-article","created":{"date-parts":[[2010,2,2]],"date-time":"2010-02-02T15:33:11Z","timestamp":1265124791000},"page":"1116-1122","source":"Crossref","is-referenced-by-count":73,"title":["Comparison of Perineal Operations with Abdominal Operations for Full\u2010Thickness Rectal Prolapse"],"prefix":"10.1002","volume":"34","author":[{"given":"Woramin","family":"Riansuwan","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic Foundation 9500 Euclid Avenue, A30 44195 Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy L.","family":"Hull","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic Foundation 9500 Euclid Avenue, A30 44195 Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Bast","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic Foundation 9500 Euclid Avenue, A30 44195 Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff P.","family":"Hammel","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Science Cleveland Clinic Foundation Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jame M.","family":"Church","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Cleveland Clinic Foundation 9500 Euclid Avenue, A30 44195 Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,2,3]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010003\u20100013\u2010x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050307"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236639"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02066977"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02055169"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800700906"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810638"},{"key":"e_1_2_5_9_2","first-page":"905","article-title":"Functional results after abdominal suture rectopexy for rectal prolapse or intussusception","volume":"162","author":"Graf W","year":"1996","journal-title":"Eur J Surg"},{"key":"e_1_2_5_10_2","first-page":"143","article-title":"Simplified sutured sacral rectopexy for complete rectal prolapse in adults","volume":"162","author":"Khanna AK","year":"1996","journal-title":"Eur J Surg"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(52)90161\u2010X"},{"key":"e_1_2_5_12_2","first-page":"301","article-title":"Clinical and functional results of abdominal rectopexy with absorbable mesh\u2010graft for treatment of complete rectal prolapse","volume":"159","author":"Winde G","year":"1993","journal-title":"Eur J Surg"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050018"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553547"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236895"},{"key":"e_1_2_5_16_2","first-page":"1225","article-title":"The surgical treatment of rectal procidentia","volume":"129","author":"Frykman HM","year":"1969","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02552654"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234167"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02053762"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02052451"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649901120"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20106555\u20108"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049468"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010004\u20102946\u20107"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010197106010\u201000018"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236980"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.2000.01342.x"},{"key":"e_1_2_5_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02055608"},{"key":"e_1_2_5_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199709000-00013"},{"key":"e_1_2_5_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02076192"},{"key":"e_1_2_5_31_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.1998.00937.x"},{"key":"e_1_2_5_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049318"},{"key":"e_1_2_5_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(01)00672\u20109"},{"key":"e_1_2_5_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900923"},{"key":"e_1_2_5_35_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750113"},{"key":"e_1_2_5_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237241"},{"key":"e_1_2_5_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00316999"},{"key":"e_1_2_5_38_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770209"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-010-0429-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-010-0429-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-010-0429-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:47:56Z","timestamp":1703605676000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-010-0429-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,2,3]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2010,5]]}},"alternative-id":["10.1007\/s00268-010-0429-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-010-0429-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,2,3]]}}}