Rectal prolapse surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Shaghayegh Habibi, M.D.[2]

Overview

Abdominal surgery- afford a lower recurrence rate with potentially better functional outcomes. Perineal surgery- Elderly patients, patients with significant comorbidities, patients who are high risk for general anesthesia, previous extensive 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

  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.
  2. Vogler SA (2017). "Rectal Prolapse". Dis. Colon Rectum. 60 (11): 1132–1135. doi:10.1097/DCR.0000000000000955. PMID 28991075.
  3. 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.
  4. 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.

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