Case Report
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World J Surg Proced. Mar 28, 2014; 4(1): 21-22
Published online Mar 28, 2014. doi: 10.5412/wjsp.v4.i1.21
Notaras procedure for incarcerated rectal prolapse
Mutlu Unver, Safak Ozturk, Osman Bozbıyık, Varlık Erol, Gökhan Akbulut
Mutlu Unver, Safak Ozturk, Osman Bozbıyık, Varlık Erol, Gökhan Akbulut, Department of General Surgery, Tepecik Education and Research Hospital, 35100 Bornova, Izmir, Turkey
Author contributions: Unver M and Ozturk S contributed to the letter’s conception and design, acquisition of data and drafting of the manuscript; Bozbiyik O and Erol V contributed to the letter’s conception and design; Akbulut G contributed to revision of this letter.
Correspondence to: Mutlu Unver, MD, Department of General Surgery, Tepecik Education and Research Hospital, 250 sok. No:3/2 kat 7 daire 25 Manavkuyu, 35100 Bornova, İzmir, Turkey. mutluunver@gmail.com
Telephone: +90-505-829866 Fax: +90-232-43056
Received: September 13, 2013
Revised: November 6, 2013
Accepted: November 20, 2013
Published online: March 28, 2014
Processing time: 217 Days and 6.3 Hours
Abstract

Patients with an incarcerated rectal prolapse usually present in the emergency department where manual reduction is first attempted. If reduction is unsuccessful, an emergency laparotomy and internal reduction is required. Edema in the rectal and perineal tissues and impaired blood flow are the main factors for a high percentage of anastomotic leaks. The traditional single stage perineal rectosigmoidectomy is not a safe surgical procedure for treating incarcerated or strangulated rectal prolapses associated with severe edema. Herein we report a case of an incarcerated rectal prolapse treated with the Notaras procedure.

Keywords: Notaras procedure; Rectal prolapse; Incarcerated; Perineal rectosigmoidectomy

Core tip: Patients with an incarcerated rectal prolapse usually present in the emergency department where manual reduction is first attempted. If reduction is unsuccessful, an emergency laparotomy and internal reduction is required. Edema in the rectal and perineal tissues and impaired blood flow are the main factors for a high percentage of anastomotic leaks. So, the traditional single stage perineal rectosigmoidectomy is not a safe surgical procedure for treating an incarcerated or strangulated rectal prolapse associated with severe edema. Herein we report a case of an incarcerated rectal prolapse treated with the Notaras procedure.