61-year-old man and 43-year-old woman treated for Grade-IV rectal prolapse using minimally invasive surgery
Raebareli: The Department of General Surgery at the All India Institute of Medical Sciences (AIIMS), Raebareli, has successfully performed laparoscopic abdominal mesh rectopexy on two patients suffering from severe Grade-IV rectal prolapse, providing relief through advanced minimally invasive surgery.
One of the patients, a 61-year-old man, was suffering from recurrent Grade-IV rectal prolapse, a condition in which the entire rectum protrudes through the anal opening. The patient had been experiencing the problem for a prolonged period, causing considerable discomfort and affecting his daily activities.
Rectal prolapse can lead to pain, bleeding, difficulty in passing stools and problems with sitting and walking. The condition is sometimes referred to as ‘kaanch nikalna’ in common parlance.
After examining the patient, the medical team opted for laparoscopic abdominal mesh rectopexy. The procedure involved making small incisions in the abdomen through which the displaced rectum was repositioned and secured using a specialised surgical mesh.
According to the doctors, laparoscopic surgery offers several advantages over conventional open surgery, including less postoperative pain, easier access to the deep pelvic region, a lower risk of surgical site infection and shorter hospitalisation. It also allows patients to resume their normal activities sooner and may reduce the chances of recurrence.
The 61-year-old patient’s condition is improving following the surgery, and he is expected to be discharged shortly.
In another case, the department successfully performed the same procedure on a 43-year-old woman diagnosed with Grade-IV rectal prolapse. She has recovered well and has already been discharged from the hospital.
The surgical team was led by Dr Deepak Rajput, Head of the Department of General Surgery and Additional Professor. The team included Associate Professor Dr Amit Kumar Gupta, Assistant Professors Dr Raunak Mehrotra and Dr Kumari Sunaina, Senior Resident Dr Kunku Nitish, and Junior Residents Dr Prateesh Kumar, Dr Raviraj and Dr Harshvardhan.
The anaesthesia team comprised Assistant Professor Dr Abhay, who managed anaesthesia for the male patient, and Assistant Professor Dr Anil, who provided anaesthesia care for the female patient.
Dr Deepak Rajput said rectal prolapse is commonly seen among elderly people, although younger individuals can also develop the condition. He pointed out that many patients delay seeking medical attention due to embarrassment, allowing the disease to progress to advanced stages.
He urged people experiencing symptoms to overcome hesitation and consult specialists without delay. He added that AIIMS Raebareli now offers advanced laparoscopic surgery for this condition on a regular basis.
Executive Director of AIIMS Raebareli, Prof. (Dr) Amita Jain, congratulated the surgical and anaesthesia teams on the successful procedures. She said the institute remains committed to providing patients in the region with advanced, safe and minimally invasive treatment facilities.
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