Rectal prolapse surgery: Difference between revisions
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**posterior mesh rectopexy<ref name="pmid28991075">{{cite journal |vauthors=Vogler SA |title=Rectal Prolapse |journal=Dis. Colon Rectum |volume=60 |issue=11 |pages=1132–1135 |year=2017 |pmid=28991075 |doi=10.1097/DCR.0000000000000955 |url=}}</ref> | **posterior mesh rectopexy<ref name="pmid28991075">{{cite journal |vauthors=Vogler SA |title=Rectal Prolapse |journal=Dis. Colon Rectum |volume=60 |issue=11 |pages=1132–1135 |year=2017 |pmid=28991075 |doi=10.1097/DCR.0000000000000955 |url=}}</ref> | ||
*'''Perineal surgery''' - Elderly patients, patients with significant comorbidities, patients who are high risk for general anesthesia, previous extensive pelvic surgery or radiation<ref name="pmid24352613">{{cite journal |vauthors=Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE |title=Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies |journal=J. Gastrointest. Surg. |volume=18 |issue=5 |pages=1059–69 |year=2014 |pmid=24352613 |doi=10.1007/s11605-013-2427-7 |url=}}</ref> | *'''Perineal surgery''' - Elderly patients, patients with significant comorbidities, patients who are high risk for general anesthesia, previous extensive pelvic surgery or radiation<ref name="pmid24352613">{{cite journal |vauthors=Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE |title=Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies |journal=J. Gastrointest. Surg. |volume=18 |issue=5 |pages=1059–69 |year=2014 |pmid=24352613 |doi=10.1007/s11605-013-2427-7 |url=}}</ref> | ||
** | **Thiersch procedure | ||
** | **Delorme procedure | ||
** | **Altemeier procedure (perineal sigmoid colon_rectal resection) | ||
** | **Gant_Miwa procedure | ||
==References== | ==References== | ||
Revision as of 19:25, 23 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Shaghayegh Habibi, M.D.[2]
Overview
Surgery
Surgical management is indicated when conservative managements have failed.[1]
- Abdominal surgery - afford a lower recurrence rate with potentially better functional outcomes
- ventral mesh rectopexy
- posterior suture rectopexy (with or without sigmoid resection)
- posterior mesh rectopexy[2]
- Perineal surgery - Elderly patients, patients with significant comorbidities, patients who are high risk for general anesthesia, previous extensive pelvic surgery or radiation[3]
- Thiersch procedure
- Delorme procedure
- Altemeier procedure (perineal sigmoid colon_rectal resection)
- Gant_Miwa procedure
References
- ↑ Dolejs SC, Sheplock J, Vandewalle RJ, Landman MP, Rescorla FJ (2017). "Sclerotherapy for the management of rectal prolapse in children". J. Pediatr. Surg. doi:10.1016/j.jpedsurg.2017.10.015. PMID 29103788.
- ↑ Vogler SA (2017). "Rectal Prolapse". Dis. Colon Rectum. 60 (11): 1132–1135. doi:10.1097/DCR.0000000000000955. PMID 28991075.
- ↑ Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). "Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies". J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.