Complete Rectal Prolapse Research Articles

Systematic literature review and meta-analysisof surgical treatment of complete rectal prolapse in male patients.

Rectal prolapse often affects women but may also affect men. This systematic review aimed to provide outcomes of surgery for complete rectal prolapse reported in studies with a predominantly male population. This PRISMA-compliant systematic literature review searched PubMed and Scopus between January 2000 and February 2024; Google Scholar was queried for studies reporting outcomes of complete rectal prolapse surgery in predominately (> 90%) male populations. Main outcome measures were recurrence, complications, operative time, and bowel function. Eight studies (452 patients; median age 45.6years) were included; 80.5% of patients underwent abdominal procedures whereas 19.5% underwent perineal procedures. The prevalenceof recurrence was 11.2% after ventral mesh rectopexy (VMR), 0.8% after posterior mesh rectopexy (PMR), 0 after resection rectopexy, and 19.3% after perineal procedures. The prevalenceof complications was 13.9% after VMR, 13.1% after PMR, 43.3% after resection rectopexy, and 17.4% after perineal procedures. The most improvement in constipation was notedafter resection rectopexy (83.3-100%) and in fecal incontinence (FI) was notedafter posterior mesh rectopexy (86.4-90%). Abdominal procedures had lower rates of recurrence (6% vs. 19.3%, RR 0.50, 95%CI 0.21-1.18, p = 0.113), similar complication rates (14.3% vs. 13.6%, RR 0.41, 95%CI 0.06-2.9, p = 0.374), and longer operative times (116 ± 47.2 vs. 74.2 ± 23.6min, p < 0.001). Treatment of rectal prolapse in male patients undergoing abdominal procedures was associated with longer operative times, lower recurrence rates, and similar complications to perineal procedures. PMR and resection rectopexy had the lowest recurrence. The most improvement in FI and constipation was noted after PMR and resection rectopexy, respectively.

Posterior Sagittal Mesh Rectopexy versus Delorme's Procedure in The Treatment of Complete Rectal Prolapse in Adult

Posterior Sagittal Mesh Rectopexy versus Delorme's Procedure in The Treatment of Complete Rectal Prolapse in Adult

Evaluation of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children.

Evaluation of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in children.

Case Report: Delorme Technique for the Treatment of Giant Non-Reducible Rectal Prolapse at the Second Level of Care

Rectal prolapse is an invagination of the rectum that causes it to protrude through the anus. Irreducible rectal prolapse is an unusual condition; in most cases, the prolapse reduces spontaneously. Non-surgical treatment alternatives have been noted, such as the use of sugar, which reduces rectal prolapse. The results have not yet been compared against surgical treatment, so they cannot yet be considered the preferred option. Given the many techniques and procedures, it should be considered that the best procedure must be chosen not only to correct the prolapse but also to restore defecatory function and to improve fecal incontinence throughout the patient's lifetime. The Delorme procedure is a transanal technique that addresses complete rectal prolapse with a low surgical risk and minimal morbidity (less damage to pelvic and hypogastric nerves compared to abdominal procedures). It is associated with a significant improvement in anal continence, low recurrence rates, short hospital stays, and patient comfort.

Outcomes of Laparoscopic Suture Rectopexy Versus Laparoscopic Mesh Rectopexy: A Systematic Review and Meta-Analysis.

The contemporary literature provides conflicting evidence regarding the precedence of laparoscopic mesh rectopexy over laparoscopic suture rectopexy for full-thickness rectal prolapse. This study aimed to compare the clinical outcomes of mesh and suture rectopexy to improve the surgical management of complete rectal prolapse.The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to extract studies based on mesh versus suture rectopexy and published from 2001 to 2023. The articles of interest were obtained from PubMed Central, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Journal Storage (JSTOR), Web of Science, Embase,Scopus, and the Cochrane Library. The primary outcomes included rectal prolapse recurrence, constipation improvement, and operative time. The secondary endpoints included the Cleveland Clinic Constipation Score, Cleveland Clinic Incontinence Score, intraoperative bleeding, hospital stay duration, mortality, overall postoperative complications, and surgical site infection.A statistically significant low recurrence of rectal prolapse (odds ratio: 0.41, 95% confidence interval (CI) 0.21-0.80; p=0.009) and longer mean operative duration (mean difference: 27.05, 95% CI 18.86-35.24; p<0.00001) were observed in patients with mesh rectopexy versus suture rectopexy. Both study groups, however, had no significant differences in constipation improvement and all secondary endpoints (all p>0.05).The laparoscopic mesh rectopexy was associated with a low postoperative rectal prolapse recurrence and a longer operative duration compared to laparoscopic suture rectopexy. Prospective randomized controlled trials should further evaluate mesh and suture rectopexy approaches for postoperative outcomes to inform the surgical management of complete rectal prolapse.

Sigmoido-rectal intussusception anastomosis in the Altemeier procedure for complete rectal prolapse: preliminary results of a new technique.

Our research introduces an innovative surgical approach, combining the Altemeier Procedure with Sigmoido-rectal Intussusception Anastomosis, effectively reducing recurrence, minimizing complications, and improving postoperative anal function in rectal prolapse patients. This retrospective study, conducted at tertiary referral hospitals including Shandong University of Traditional Chinese Medicine's Affiliated Hospital, Linyi People's Hospital, and Pingyi People's Hospital, examined data from patients undergoing conventional Altemeier surgery or Altemeier combined with Sigmoido-rectal Intussusception Anastomosis. Analyzing hospitalization and follow-up data from January 2009 to December 2022, the study focused on prolapse recurrence, complications, and anal function as primary outcome indicators across these three study centers. In the study, both groups had an average follow-up of (12.5 ± 2.41) months, and only two traditional group patients experienced mortality. Recurrence rates significantly differed, with 26.47% in the traditional group and 1.54% in the modified group (P < 0.001). The modified group showed no perioperative anastomotic dehiscence, contrasting with a 13.24% occurrence in the conventional group (P = 0.003). Primary complications in the modified group included anastomotic hemorrhage, with rates of 17.65% and 6.15% in the traditional and modified groups, respectively (P = 0.077). At 12 months postoperatively, both groups improved in anal manometry parameters and the Wexner anal incontinence score. Resting pressure was significantly lower in the traditional group (32.50 ± 1.76 mmHg) than the modified group (33.24 ± 2.06 mmHg) (P = 0.027), while the extrusion pressure was higher in the modified group (64.78 ± 1.55 mmHg) than the traditional group (62.85 ± 2.30 mmHg) (P < 0.001). The Wexner anal incontinence score was significantly lower in the modified group (2.69 ± 1.65) than the traditional group (3.69 ± 1.58, P = 0.001). This retrospective study affirms that adding Sigmoido-rectal Intussusception Anastomosis to the Altemeier procedure reduces recurrence and complications. While both approaches enhance postoperative anal function in complete rectal prolapse patients, the combined method, particularly with Sigmoido-rectal Intussusception Anastomosis, proves more effective.

Outcomes of Laparoscopic Suture vs Mesh Rectopexy for Complete Rectal Prolapse.

Objective To compare outcomes of laparoscopic suture and laparoscopic mesh rectopexy for the treatment of complete rectal prolapse in adults. Materials and methods This study was conducted between December 2020 to December 2022, involving 75 patients (Group A: 34; Group B: 41). Inclusion criteria encompassed confirmed complete rectal prolapse. Preoperative measures included comprehensive assessments, mechanical bowel cleansing, prophylactic antibiotics, and rectal irrigation. Surgical techniques involved laparoscopic suture rectopexy for Group A and laparoscopic mesh rectopexy for Group B. Postoperative care and follow-up evaluations were conducted. Results Group A demonstrated advantages in terms of shorter operative times, quicker bowel activity resumption, and reduced hospital stays. Intraoperative bleeding was absent in Group A, while wound-related complications were higher in Group B. Recurrence rates were lower in Group A (2.9%) compared to Group B (9.8%). Both groups exhibited improvements in incontinence grades postoperatively. Constipation increased in both groups. Conclusion Both techniques are effective in treating complete rectal prolapse, each with its advantages and considerations. Group A showed potential benefits in terms of operative efficiency and fewer complications, albeit with a potential for increased recurrence. The study emphasizes the need for individualized patient care, considering factors such as operative characteristics, postoperative outcomes, and patient preferences.

Colonoscopy-assisted percutaneous sigmoidopexy (CAPS) for complete rectal prolapse treatment: Case series.

Background and study aims We have previously reported on the effectiveness of colonoscopy-assisted percutaneous sigmoidopexy (CAPS) for sigmoid volvulus treatment. This study describes the CAPS application to treat complete rectal prolapse by straightening and fixing the rectum. Complete rectal prolapse is common in older women. Due to their comorbidities, management must comprise a simple, safe, and reliable surgical method not involving general anesthesia or colon resection. Patients and methods We enrolled 13 patients in our outpatient department diagnosed with complete rectal prolapse between June 2016 and 2021. The endoscope was advanced into the anterior proximal rectal wall, straightening the intussuscepted sigmoid colon and rectum to approximate the puncture site. The fixation sites were anesthetized with 1% xylocaine, and a 2-mm skin incision was made using a scalpel. A two-shot anchor was used to fix the sigmoid colon to the abdominal wall (Olympus, Tokyo, Japan). Results The median patient age was 88 years (range: 50-94). The median CAPS procedure time was 30 minutes (range: 20-60). In one patient, the transverse colon was accidentally punctured and interposed between the abdominal wall and sigmoid colon, requiring a laparotomy to remove the causative fixation thread and provide re-fixation. Fecal incontinence was resolved in 10 of 13 cases. Conclusions CAPS is a quick and simple procedure. In addition, it is a treatment option for complete rectal prolapse that can be performed under local anesthesia.

A network meta-analysis of surgical treatments of complete rectal prolapse.

Surgical treatment of complete rectal prolapse can be undertaken via an abdominal or a perineal approach. The present network meta-analysis aimed to compare the outcomes of different abdominal and perineal procedures for rectal prolapse in terms of recurrence, complications, and improvement in fecal incontinence (FI). A PRISMA-compliant systematic review of PubMed, Scopus, and Web of Science was conducted. Randomized clinical trials comparing two or more procedures for the treatment of complete rectal prolapse were included. The risk of bias was assessed using the ROB-2 tool. The main outcomes were recurrence of full-thickness rectal prolapse, complications, operation time, and improvement in FI. Nine randomized controlled trials with 728 patients were included. The follow-up ranged between 12 and 47months. Posterior mesh rectopexy had significantly lower odds of recurrence than did the Altemeier procedure (logOR, - 12.75; 95% credible intervals, - 40.91, - 1.75), Delorme procedure (- 13.10; - 41.26, - 2.09), resection rectopexy (- 11.98; - 41.36, - 0.19), sponge rectopexy (- 13.19; - 42.87, - 0.54), and sutured rectopexy (- 13.12; - 42.58, - 1.50), but similar odds to ventral mesh rectopexy (- 12.09; - 41.7, 0.03). Differences among the procedures in complications, operation time, and improvement in FI were not significant. Posterior mesh rectopexy ranked best with the lowest recurrence while perineal procedures ranked worst with the highest recurrence rates.

Perioperative nursing care of a case of acute incarceration of complete rectal prolapse

Perioperative nursing care of a case of acute incarceration of complete rectal prolapse

A comparative study between transanal and transabdominal approaches in treatment of complete rectal prolapse

There is a wide variety of surgical methods to treat rectal prolapse; however, to date, no clear agreement exists regarding the most effective surgical method. This study was designed to compare the results according to the surgical approach for complete rectal prolapse in women. This study was conducted from March 2016 to February 2021 on female patients with rectal prolapse who underwent surgery. First, all patients were classified into mucosal and complete layer groups to confirm the difference in results between the two groups, and only complete layer prolapse patients were divided into transanal and abdominal approaches to compare parameters and functional outcomes in each group. A total of 180 patients were included, with an average age of 71.7 years and 102 complete prolapses. The complete layer group was found to have more abdominal access, longer operating time, and higher recurrence rates compared to the mucosal layer group. (p<0.001) When targeting only the complete layer patients, there were 65 patients with the transanal and 37 with the abdominal (laparoscopic) approaches. The abdominal approach group had a longer operating time and hospital stay (p<0.001, respectively) and lower recurrence rate than the transanal group (transanal vs. abdominal, 38% vs. 10.8%, p=0.003), while the Wexner constipation and incontinence scores showed improved results in both groups. Although operating time and hospitalization period were shorter in the transanal group, laparoscopic abdominal surgery is a procedure that can reduce the recurrent rate for complete rectal prolapse.

COMPLETE RECTAL PROLAPSE WITH CONCOMITANT RECTO-SIGMOIDOANAL INTUSSUSCEPTION - A RARE CASE REPORT

Intussusception is more common in the pediatric age group and very rare in adults. The presentation, etiology and treatment of adult intussusception is different from that in pediatric age group. Adult colonic Intussusceptions account for only 5% of all cases, out of which only 1% present as obstruction. Often the diagnosis in adults is delayed due to vague, chronic and non-specic symptoms that are either ignored or treated symptomatically. Rectal prolapse is more common in geriatric age group compared to younger population. Colonic intussusception can be associated with a rectal prolapse. In children the symptoms of intussusception include palpable abdominal mass, fresh blood in stools and colicky abdominal pain. However, in adults, symptoms consist of bloody stool, constipation or symptoms suggestive of malignancy such as weight loss, altered bowel habits and loss of appetite. We present a case of a complete rectal prolapse with strangulated rectosigmoid intussusception for which sigmoid resection was done with reduction of rectal prolapse, rectosigmoid anastomosis, mesh rectopexy and diverting transverse colostomy

Complete Rectal Prolapse Associated with Redundant Sigmoid Colon in Young Psychiatric Patients: Anterior Resection of the Rectosigmoid is a Safe and Effective Choice of Operation

Complete Rectal Prolapse Associated with Redundant Sigmoid Colon in Young Psychiatric Patients: Anterior Resection of the Rectosigmoid is a Safe and Effective Choice of Operation

Natural Orifice Transanal Endoscopic Rectopexy for Complete Rectal Prolapse: Prospective Evolution of a New Technique and Short-term Outcomes.

Endoluminal surgery for the management of rectal prolapse remains largely experimental. To evaluate the evolution and short-term outcomes of a new endoluminal technique for the management of complete rectal prolapse. This was a prospective study. This study was conducted at a single tertiary care teaching center. A total of 29 patients were included. The first 12 patients underwent the procedure with our initial technique, and the last 17 patients were subjected to the new modified procedure. The follow-up duration was 3 years for the older technique and 26 months for the newer technique. This technique involves: 1) ventral "suture" rectopexy: rectum is fixed anteriorly to the anterior abdominal wall using percutaneously placed sutures. 2) Posterior rectum is fixed to the sacral promontory using tackers through a submucosal tunnel. Safety, recurrence, functional outcomes, morbidity, and mortality were the main outcome measures. There were improvements in constipation and incontinence scores, anal manometric pressures, anorectal angle, anorectal descent, and quality of life postoperatively in both groups. In patients undergoing the modified procedure, there was a significant decrease in duration of surgery (220 ± 48.89 vs 110 ± 12.51 min), shortened hospital stay (4.6 ± 1.71 vs 2.6 ± 0.65 d), decreased recurrence (25% vs 5.8%), and complications (surgical-site infection and retrorectal abscess). Short follow-up, small sample size, and single-center study were the limitations. This is a novel endoluminal technique for treating rectal prolapse obviating perirectal dissection, abdominal incisions, or a mesh. This can now be performed under complete endoscopic and fluoroscopic vision. It avoids general anesthesia and therefore can be an alternative for patients with comorbid conditions in whom the standard abdominal procedure may not be well tolerated. Larger randomized multicentric studies with longer follow-ups are warranted. See Video Abstract at http://links.lww.com/DCR/C59. ANTECEDENTES:La cirugía endoluminal para el tratamiento del prolapso rectal ha permanecido en gran parte experimental.OBJETIVO:Este estudio tiene como objetivo evaluar la evolución y los resultados a corto plazo de una nueva técnica endoluminal para el manejo del prolapso rectal completo.DISEÑO:Estudio prospectivo.ÁMBITOS:Único centro docente de tercer nivel de atención.PACIENTES:Se incluyeron un total de 29 pacientes (19 hombres y 10 mujeres) con prolapso rectal completo. Los primeros 12 pacientes fueron sometidos al procedimiento con nuestra técnica anteriormente descrita y los últimos 17 pacientes fueron sometidos al nuevo procedimiento modificado. La duración del seguimiento es de 3 años para la técnica más antigua y de 26 meses para la técnica más nueva.INTERVENCIÓN:Esta técnica implica: A) Rectopexia de "sutura" ventral: el recto se fija anteriormente a la pared abdominal anterior mediante suturas colocadas percutáneamente. B) El recto posterior se fija al promontorio sacro mediante grapas a través de un túnel submucoso.PRINCIPALES MEDIDAS DE RESULTADO:Seguridad, recurrencia, resultados funcionales, morbilidad y mortalidad.RESULTADOS:Hubo mejorías en las puntuaciones de estreñimiento (ODS) e incontinencia (SMIS), presiones manométricas anales (reposo y contracción), ángulo anorrectal, descenso anorrectal y calidad de vida post operatoria en ambos grupos. En los pacientes sometidos al procedimiento modificado hubo una significativa disminución en la duración de la cirugía (220 + 48,89 vs 110 + 12,51 minutos), acortamiento de la estancia hospitalaria (4,6 + 1,71 vs 2,6 + 0,65 días), disminución de la recurrencia (25% vs 5,8%) y complicaciones (infecciónes del sitio quirúrgico y abscesos retrorrectales).LIMITACIONES:Seguimiento corto, tamaño de muestra pequeña, estudio de un solo centro.CONCLUSIÓNES:La rectopexia endoscópica transanal por orificio natural (NOTER) es una novedosa técnica endoluminal para el tratamiento del prolapso rectal que evita la disección perirrectal, las incisiones abdominales o la fijación de una malla. Este procedimiento puede realizar hoy día bajo visión completa endoscópica y fluoroscópica. Evita la anestesia general y, por lo tanto, puede ser una alternativa para pacientes con condiciones comórbidas donde el procedimiento abdominal estándar puede no ser bien tolerado. Se justifican estudios multicéntricos aleatorios más grandes con un seguimiento más prolongado para validar aún más esta nueva técnica. Consulte Video Resumen en http://links.lww.com/DCR/C59. (Traducción-Dr Osvaldo Gauto).

A Network Meta-Analysis of Surgical Treatment of Complete Rectal Prolapse

A Network Meta-Analysis of Surgical Treatment of Complete Rectal Prolapse

Altemeier’s Procedure, an Easy Solution for Rectal Prolapse

Introduction: Rectal prolapse is an embarrassing clinical condition. Most of the time patients get emergency hospital admission. Full thickness rectal prolapse demands surgical treatment. Many surgical procedures and techniques were described but none is adopted as standard. It is challenging to choose appropriate surgical procedure in the emergency situations as many patients come after trial of reduction and maltreatment. We have treated 64 patients of full thickness rectal prolapse by Altemeier’s procedure in emergency admissions. This study was designed to observe the outcomes of Altemeier’s procedure (perineal proctosigmoidectomy) in full thickness rectal prolapse as emergency surgery. Methods: This prospective study was done in Dhaka Medical College Hospital and Cumilla Medical College Hospital over the period of January 2013 to July 2018. Total 64 patients were included in this study. Alteimer’s procedure was done in all patients. Patients were followed up on 2 weeks, 1 month, 3months, 6 months and 1 year. Patients were evaluated by complain of pain, per rectal bleeding, mucous discharge, bowel movement and incontinence. Postoperative data was collected and evaluated. Results: Reduction was achieved in all patients and they were satisfied about their prolapse correction. Two patients needed blood transfusion and laparotomy. Anastomotic disruption and bleeding from the mesenteric vessels were found on laparotomy. All patients had improved evacuation as assessed by history of satisfactory evacuation. No recurrence was reported during the follow up period. Gas and liquid incontinence were noted in 3 patients who improved with sphincter exercise within 3 months. Conclusion: In our series, we found Altemeier’s procedure is safe, effective for complete rectal prolapse specially in emergency situation and can be done under regional anesthesia. J Bangladesh Coll Phys Surg 2022; 40: 229-232

A novel method for treating complete rectal prolapse with laparoscopic sigmoidopexy to the abdominal wall: A case report

IntroductionThe existing treatment methods for rectal prolapse still have problems in terms of their recurrence, invasiveness, and complications; hence, minimally invasive techniques with fewer recurrences and complications are necessary. We performed laparoscopic sigmoidopexy to the abdominal wall to treat complete rectal prolapse.Presentation of caseAn Asian woman in her 80s presented with a complaint of constant faecal and urinary incontinence. She was diagnosed with a 4 cm complete rectal prolapse and underwent surgery. The sigmoid colon was tractioned laparoscopically and fixed to the abdominal wall. The patient had no intraoperative or postoperative complications, and her defaecation was well-controlled without recurrence for one year after surgery.DiscussionIn this study, we performed laparoscopic sigmoidopexy to the abdominal wall with good results.ConclusionThis simple method, which requires only five sutures, can be a candidate treatment method for complete rectal prolapse.

Study on aetiopathogenesis and management of rectal prolapse in tertiary care centre in Odisha, India

Introduction: Rectal prolapse refers to a circumferential, full-thickness protrusion of the rectum through the anus and also has been called complete prolapse, or procidentia. Internal prolapse occurs when the rectal wall intussuscepts but does not protrude, and is more accurately described as internal intussusception. In adults, rectal prolapse is far more common among women. The diagnosis is obvious on inspection, except in the case of concealed rectal prolapse. At present, the fixation of the rectum to the sacral hollow is considered to be the most rational operation in the surgical management of complete rectal prolapse. The present study is undertaken at S.C.B.Medical college hospital, Cuttack to evaluate the aetio-pathological factors associated with rectal prolapse and the different surgical methods available to repair them. Methods: A hospital-based Cross-sectional study was done among the patients Presenting .with Rectal Prolapse either attending Surgery Out-Patient Department or admitted to the Department through Emergency Department and giving consent for the study. Results: In the study 91.2% were complete and 8.8% were partial prolapse. The maximum age group showing thus prolapse was from 31-50 years age group, with males having more incidence of prolapse than females. Among the females, multi-porous were having increased incidence of prolapse.

Assessment of Laparoscopic Posterior Mesh Rectopexy for Complete Rectal Prolapse: A Case Series with Review of Literature

Abstract Background Trans-abdominal rectopexy for complete rectal prolapse (CRP) reportedly yields more definitive results as compared with trans-perineal surgery. In the era of minimal access surgery, minimally invasive laparoscopic rectopexy has become a popular treatment option for patients with rectal prolapse (RP). Herein, we describe our preferred surgical procedure for the correction of RP and evaluate its results. We further aim to perform a comparative assessment between perioperative outcomes achieved with open and laparoscopic applications of this technique. Materials and methods This was a retrospective cross-sectional observational study conducted at a tertiary health care center in Maharashtra, India. We studied cases of RP who underwent laparoscopic posterior mesh rectopexy during the past 15 years (2005–2021), in our institution, operated upon by a single surgeon. Results Of the total 14 patients, 12 were managed with laparoscopic posterior mesh rectopexy. The remaining two underwent laparoscopic suture rectopexy. The mean operative time was 120 minutes. Constipation improved among 28.57%, remained the same among 21.42%, and worsened among 35.71% patients. No intra-operative blood transfusion was required. Mean length of hospital stay was 4 days. There were no recurrences over a mean follow-up period of 94 months, i.e., 7.83 years (range 7–197 months). Conclusions Laparoscopic posterior rectopexy can be safely performed in older patients to achieve early postoperative ambulation and significantly shorten the hospital stay. It may, therefore, be considered an effective treatment for CRP and urinary dysfunction. However, the incidence of de-novo constipation and worsening of pre-existing constipation is significantly high.

Outcome of Open Abdominal Rectopexy for the Treatment of Complete Rectal Prolapse –Our Experience in 20 Cases

Introduction: Complete rectal prolapse (procidentia) is a very troublesome condition. In adults, the only curative treatment for complete rectal prolapse is surgery either bytrans abdominal or perineal approaches. Among the all surgical procedure, the option of abdominal rectopexy , which can be done either by open procedure or laparoscopically, has become the treatment of choice for complete rectal prolapse. Objective: The purpose of this study is to see the outcome of open abdominal rectopexy for the treatment of complete rectal prolapse by subjective assessment. Methodology: The study was conducted in the Department of Surgery, Women’s Medical College Hospital and different private hospital in Sylhet District, from July 2013 to May 2021.A total of 20 Patients who presented with complete rectal prolapsed fulfilling the inclusion criteria were selected as study population. Laparotomy was done by lower midline incision and spinal anaesthesia was chosen for all the cases. Assessment of operative time, postoperative pain, mean days of hospital stay, constipation score, in continence score and recurrence rate within six months of follow-up were observed and recorded. Result: A total of 20 patients were included in this study of which 65% were female and 35% were male. The mean age was 48.80 (SD 11.50) years, the mean BMI was 24.1 (SD 2.35) and the mean time of operation was 80(SD 10.75) minutes. The mean VAS was 5.0(SD 1.25) on the day of first postoperative and 3.8(SD 1.15) on the second postoperative day. The mean days to resume bowel activity was 3.12 (SD 1.0) days. Postoperative hospital stay mean was 5.2 (SD 1.14) days. The constipation scores during preoperative and postoperative period were 3.8(SD 2.12) and 2.6 (SD 1.75) respectively. The mean in continence score during preoperative and postoperative period were 7.1 (SD 3.25) and 2.0 (SD 2.25) respectively. No recurrence case was found within six months of follow up period in this study. Conclusion: Open abdominal rectopexy is a safe, simple and effective procedure for the treatment of complete rectal prolapse.