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''' - for younger patients, but is more dangerous
*'''Abdominal surgery''' - afford a lower recurrence rate with potentially better functional outcomes
**Anterior resection
**ventral mesh rectopexy
**Marlex rectopexy
**posterior suture rectopexy (with or without sigmoid resection)
**Suture rectopexy
**posterior mesh rectopexy
**Resection 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]]ectomy
*''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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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
  • 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

  1. 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.

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