Perineal rectosigmoidectomy on treatment of rectal procidentia: analysis of 48 cases

objective: to evaluate results obtained in 48 cases of perineal rectosigmoidectomy in patients with rectal procidentia. methods: 48 medical records of patients undergoing prs were analyzed, retrospectively. results: before surgery, 44 patients (77.1%) reported complaints of anal mass and rectal bleeding was reported 13 times (22.8%). the period of hospitalization was 3.91 days (2 to 12 days). women were the majority (85.4%). the mean age was 73.8 years (49 to 101 years). the average time of surgery was 72 minutes (40 to 90 minutes). mechanical anastomosis was performed in 72.9% and manual in 27.1%. among the 12 (25%) patients with fecal incontinence, continence was achieved in 2 cases. postoperative complications occurred in five cases - 10.5% (two pneumonia and three anastomotic leakages). recurrence was verified in four patients (8,3%). there were no deaths related to the procedure. conclusion: perineal rectosigmoidectomy is a good surgical option for rectal procidentia, with low morbidity and mortality, low recurrence rate and short hospitalization length.