Rectal prolapse surgery: Difference between revisions
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'''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> | '''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 | ||
* | *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<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> | '''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 | *Thiersch procedure: using a prothesis that narrows the anus | ||
*Delorme procedure | *Delorme procedure: peels off the herniated mucosa, plicates the exposed muscular layer, and sutures the anorectal mucosa | ||
*Altemeier procedure (perineal sigmoid colorectal resection) | *Altemeier procedure (perineal sigmoid colorectal resection): the protruded rectum is resected 2cm above the dentate line and the mesentery of the sigmoid colon is pulled and ligated | ||
*Gant_Miwa procedure | *Gant_Miwa procedure: herniated mucosa is plicated by ligation, muscle layer is sutured and the anal opening is narrowed by a prothesis (not widely accepted) | ||
==References== | ==References== | ||
Revision as of 14:13, 24 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: using a prothesis that narrows the anus
- Delorme procedure: peels off the herniated mucosa, plicates the exposed muscular layer, and sutures the anorectal mucosa
- Altemeier procedure (perineal sigmoid colorectal resection): the protruded rectum is resected 2cm above the dentate line and the mesentery of the sigmoid colon is pulled and ligated
- Gant_Miwa procedure: herniated mucosa is plicated by ligation, muscle layer is sutured and the anal opening is narrowed by a prothesis (not widely accepted)
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.