Rectal prolapse surgery: Difference between revisions
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Surgical management is indicated when conservative managements have failed.<ref name="pmid29103788">{{cite journal |vauthors=Dolejs SC, Sheplock J, Vandewalle RJ, Landman MP, Rescorla FJ |title=Sclerotherapy for the management of rectal prolapse in children |journal=J. Pediatr. Surg. |volume= |issue= |pages= |year=2017 |pmid=29103788 |doi=10.1016/j.jpedsurg.2017.10.015 |url=}}</ref> | Surgical management is indicated when conservative managements have failed.<ref name="pmid29103788">{{cite journal |vauthors=Dolejs SC, Sheplock J, Vandewalle RJ, Landman MP, Rescorla FJ |title=Sclerotherapy for the management of rectal prolapse in children |journal=J. Pediatr. Surg. |volume= |issue= |pages= |year=2017 |pmid=29103788 |doi=10.1016/j.jpedsurg.2017.10.015 |url=}}</ref> | ||
*'''Abdominal surgery''' - afford a lower recurrence rate with potentially better functional outcomes | *'''Abdominal surgery'''- afford a lower recurrence rate with potentially better functional outcomes<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> | ||
**ventral mesh rectopexy | **ventral mesh rectopexy | ||
**posterior suture rectopexy (with or without sigmoid resection) | **posterior suture rectopexy (with or without sigmoid resection) | ||
**posterior mesh rectopexy | **posterior mesh rectopexy | ||
*'''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><ref name="pmid21431090">{{cite journal |vauthors=Shin EJ |title=Surgical treatment of rectal prolapse |journal=J Korean Soc Coloproctol |volume=27 |issue=1 |pages=5–12 |year=2011 |pmid=21431090 |pmc=3053504 |doi=10.3393/jksc.2011.27.1.5 |url=}}</ref> | ||
*Thiersch procedure | |||
**Delorme procedure | **Delorme procedure | ||
**Altemeier procedure (perineal sigmoid colorectal resection) | **Altemeier procedure (perineal sigmoid colorectal resection) | ||
**Gant_Miwa procedure | **Gant_Miwa procedure | ||
==References== | ==References== | ||
Revision as of 19:29, 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[2]
- ventral mesh rectopexy
- posterior suture rectopexy (with or without sigmoid resection)
- posterior mesh rectopexy
- Perineal surgery- Elderly patients, patients with significant comorbidities, patients who are high risk for general anesthesia, previous extensive pelvic surgery or radiation[3][4]
- Thiersch procedure
- Delorme procedure
- Altemeier procedure (perineal sigmoid colorectal 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.
- ↑ Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.