Rectal prolapse surgery

Rectal prolapse Microchapters
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Overview
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Differentiating Rectal Prolapse from other Diseases
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Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

Surgical management is indicated when conservative managements have failed.

• 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 - 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