Two Cases of Rectal Perforation During the Gant-Miwa Procedure for Rectal Prolapse

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  • Gant三輪法による直腸脱術後に直腸穿孔による腹膜炎を併発した2例

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The Gant-Miwa-Thiersch method (GMT) is regarded as a basic and safe surgical procedure for rectal prolapse. We report two cases of rectal perforations while performing a GMT repair. Case 1 involved a 75-year-old female and case 2 involved a 93-year-old female. The patients underwent emergency surgeries with colostomies for rectal perforation. The perforation rate during the GMT method in our hospital is 0.5%; however, the perforation rate is increased in patients with relapse. The possibility of serious complications during a GMT repair should be kept in mind, and the best surgical approach for rectal prolapse should always be selected.

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