Rectal prolapse surgery: Difference between revisions
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**posterior suture rectopexy (with or without sigmoid resection) | **posterior suture rectopexy (with or without sigmoid resection) | ||
**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 | ||
**''Anal encirclement'' | **''Anal encirclement'' | ||
**''Delorme mucosal sleeve resection'' | **''Delorme mucosal sleeve resection'' | ||
Revision as of 16:41, 19 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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
- 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.
- ↑ Vogler SA (2017). "Rectal Prolapse". Dis. Colon Rectum. 60 (11): 1132–1135. doi:10.1097/DCR.0000000000000955. PMID 28991075.