Published online Mar 28, 2014. doi: 10.5412/wjsp.v4.i1.21
Revised: November 6, 2013
Accepted: November 20, 2013
Published online: March 28, 2014
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.