Exploring the Thiersch Method in a Case of Partial Rectal Mucosal Prolapse: A Case Report

Abstract

Rectal prolapse, involving protrusion of rectal mucosa or full-thickness rectal wall through the anal canal, significantly impairs patient quality of life. Partial rectal mucosal prolapse often presents with straining, discomfort, and visible anal mass, necessitating timely and effective intervention. A 60-year-old female presented with a 6-months history of mucosal prolapse through the anus, associated with mild pain, constipation, and straining during defecation. The case was diagnosed as  partial rectal mucosal prolapse was diagnose. The patient underwent a Thiersch procedure a minimally invasive surgical technique involving subcutaneous anal encirclement using a Ethicon 1-0 (Non absorbable). Post-operatively, an integrative Ayurvedic regimen was administered, including Panchavalkala Kwatha for wound irrigation, Yashtimadhu Ghrita for aseptic dressing, and internal medications: Kaishora Guggulu (1 g, thrice daily before meals) and Eranda Bhrishta Haritaki (5 g at bedtime with warm water) to manage inflammation and constipation respectively. The post-operative course was uneventful. The patient showed significant symptomatic relief with no recurrence of prolapse or complications observed during regular follow-up. This case illustrates a successful outcome of the Thiersch procedure when complemented by Ayurvedic post-operative care. The integrative approach showed promise in enhancing wound healing, maintaining bowel regularity, and preventing recurrence in partial rectal mucosal prolapse.