To explore the early effect of laparoscopic pelvic floor and ligament overall repair in the treatment of internal rectal prolapse under the guidance of the integral theory and the comparative study of the effectiveness of perioperative nursing methods in fast track surgery.

The clinical data of 82 patients with internal rectal prolapse treated by operation from March 2017 to November 2019 were compared, forty cases were treated by traditional perioperative nursing (control group), and 42 cases were treated by perioperative nursing of fast track surgery (observatuin group). Comparing the first ventilation time of the two groups, hospital stay, surgical bleeding, hospital cost and incidence of postoperative complications; and preoperative and postoperative a comparative observation of the degree of internal rectal prolapse (DIRP), Wexner constipation scale (WCS), gastrointestinal quality of life index (GIQLI) and Wexner incontinence scale (WIS) at 3 months.

First ventilation time, hospital stay and hospital cost of observatiun group were significantly better than those of control group (t=4.991, 9.651, 10.494; P<0.001). The DIRP, WCS, GIQLI, and WCS of the two groups of patients before and after 3 months of operation were compared, and the results showed that all indicators were significantly improved (t_control=44.826, 16.794, 9.459, -5.477, t _observatiun=44.077, 18.504, 17.405, -19.730; P<0.001). WCS, GIQLI, and WIS of observation group were significantly improved compared with control group (t=2.734, 11.005, -3.916; P<0.001). There was no significant difference in Clavien-Dindo grade Ⅰ~Ⅲ postoperative complications between the two groups.

Under the guidance of the integral theory, laparoscopic pelvic floor and ligament overall repair surgery for internal rectal prolapse has the advantages of less trauma, fewer complications, and good clinical results. Adopting fast track surgery perioperative nursing measures and methods can significantly accelerate postoperative rehabilitation, restore intestinal function early, shorten hospital stay, reduce hospital cost, and improve patients' quality of life.