Rectal prolapse surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Rectal prolapse surgery has two different approaches: Abdominal surgery (lower recurrence rate and better functional outcomes) or perineal surgery (in elderly patients, significant comorbidities, high risk patients for general anesthesia, previous pelvic surgery or radiation) | Rectal prolapse surgery has two different approaches: '''Abdominal surgery''' (lower recurrence rate and better functional outcomes) or '''perineal surgery''' (in elderly patients, significant comorbidities, high risk patients for general anesthesia, previous pelvic surgery or radiation) | ||
==Surgery== | ==Surgery== | ||
Revision as of 20:21, 23 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Shaghayegh Habibi, M.D.[2]
Overview
Rectal prolapse surgery has two different approaches: Abdominal surgery (lower recurrence rate and better functional outcomes) or perineal surgery (in elderly patients, significant comorbidities, high risk patients for general anesthesia, previous pelvic surgery or radiation)
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.