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''' - | *'''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 | ||
** | *'''''Perineal surgery''' - often performed on older patients and is less dangerous'' | ||
*'''Perineal surgery''' - often performed on older patients and is less dangerous | **''Anal encirclement'' | ||
**Anal encirclement | **''Delorme mucosal sleeve resection'' | ||
**Delorme mucosal sleeve resection | **''Altemeier perineal rectosigmoidectomy'' | ||
**Altemeier perineal rectosigmoidectomy | **[[Hemorrhoid|''Hemorrhoidectomy'']] | ||
**[[Hemorrhoid]] | *''Children are treated with linear cauterization'' | ||
*Children are treated with linear cauterization | |||
==References== | ==References== | ||
Revision as of 21:21, 18 January 2018
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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
- Perineal surgery - often performed on older patients and is less dangerous
- Anal encirclement
- Delorme mucosal sleeve resection
- Altemeier perineal rectosigmoidectomy
- Hemorrhoidectomy
- Children are treated with linear cauterization
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.