Toward a selection of the most appropriate procedure in the treatment of complete rectal prolapse

1988 ◽  
Vol 31 (5) ◽  
pp. 355-357 ◽  
Author(s):  
J. H.C. Kuijpers ◽  
H. de Morree
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Selection Of

Robotic Frykman‐Goldberg procedure for complete rectal prolapse – A video vignette

2021 ◽  
Author(s):  
Antonio Sciuto ◽  
Raffaele Emmanuele Maria Pirozzi ◽  
Alfredo Pede ◽  
Gianluca Lanni ◽  
Luca Montesarchio ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Video Vignette

Reduction of Complete Rectal Prolapse

1992 ◽  
Vol 22 (4) ◽  
pp. 180-180
Author(s):  
D S Bhandarkar ◽  
R G Tamhane
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse

scholarly journals Surgical treatment of rectal prolapse: experience and late results with 51 patients

2004 ◽  
Vol 59 (4) ◽  
pp. 168-171 ◽  
Author(s):  
Carlos Walter Sobrado ◽  
Desidério Roberto Kiss ◽  
Sérgio C. Nahas ◽  
Sérgio E. A. Araújo ◽  
Victor E. Seid ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Late Results ◽  
Long Term Results ◽  
Complete Rectal Prolapse ◽  
Presacral Space ◽  
Perineal Rectosigmoidectomy ◽  
Study Results ◽  
Low Incidence

The "best" surgical technique for the management of complete rectal prolapse remains unknown. Due to its low incidence, it is very difficult to achieve a representative number of cases, and there are no large prospective randomized trials to attest to the superiority of one operation over another. PURPOSE: Analyze the results of surgical treatment of complete rectal prolapse during 1980 and 2002. METHOD: Retrospective study. RESULTS: Fifty-one patients underwent surgical treatment during this period. The mean age was 56.7 years, with 39 females. Besides the prolapse itself, 33 patients complained of mucous discharge, 31 of fecal incontinence, 14 of constipation, 17 of rectal bleeding, and 3 of urinary incontinence. Abdominal operations were performed in 36 (71%) cases. Presacral rectopexy was the most common abdominal procedure (29 cases) followed by presacral rectopexy associated with sigmoidectomy (5 cases). The most common perineal procedure was perineal rectosigmoidectomy associated with levatorplasty (12 cases). Intraoperative bleeding from the presacral space developed in 2 cases, and a rectovaginal fistula occurred in another patient after a perineal rectosigmoidectomy. There were 2 recurrences after a mean follow-up of 49 months, which were treated by reoperation. CONCLUSION: Abdominal and perineal procedures can be used to manage complete rectal prolapse with safety and good long-term results. Age, associated medical conditions, and symptoms of fecal incontinence or constipation are the main features that one should bear in mind in order to choose the best surgical approach.

scholarly journals Preserving the superior rectal artery in laparoscopic anterior resection for complete rectal prolapse

2002 ◽  
Vol 49 (2) ◽  
pp. 25-26 ◽  
Author(s):  
D. Ignjatovic ◽  
R. Bergamaschi
Keyword(s):  
Rectal Prolapse ◽  
Anterior Resection ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Current Practice ◽  
Sigmoid Resection ◽  
Complete Rectal Prolapse ◽  
Complication Rates ◽  
Superior Rectal Artery ◽  
Laparoscopic Anterior Resection

Anterior resection for the treatment of full thickness rectal prolapse has been around for over four decades. 1 However, its use has been limited due to fear of anastomotic leakage and related morbidity. It has been shown that high anterior resection is preferable to its low counterpart as the latter increases complication rates. 2 Although sparing the inferior mesenteric artery in sigmoid resection for diverticular disease has been shown to decrease leak rates in a randomized setting, 3 vascular division is current practice. We shall callenged this current practice of dividing the mesorectum in anterior resection for complete rectal prolapse developing a technique that allows the preservation of the superior rectal artery.

scholarly journals EFFECT OF PERINEAL REPAIR AND MUSHAKADI TAILA MATRABASTI IN MANAGEMENT OF RECTAL PROLAPSE (GUDABHARMSA): A CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4267-4270
Author(s):  
Sapna Maheshwari ◽  
Harshit Shah ◽  
Pragnesh Patel
Keyword(s):  
Rectal Prolapse ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Repair ◽  
Chief Complaints ◽  
Surgical Options ◽  
External Rectal Prolapse

Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.

scholarly journals Evaluation of Delorme’s Procedure in the Treatment of Complete Rectal Prolapse- A Comparison with Abdominal Rectopexy (Well’s procedure)

2021 ◽  
Vol 34 (1) ◽  
pp. 40-46
Author(s):  
Md Ariful Alam Suman ◽  
Md Habibullah Sarkar ◽  
Istiak Ahmed ◽  
Sulatanul Abedin ◽  
Md Shohidul Islam ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Hospital Stay ◽  
P Value ◽  
Complete Rectal Prolapse ◽  
Advantages And Disadvantages ◽  
Group I ◽  
Abdominal Rectopexy ◽  
Delorme’S Procedure ◽  
Group 2 ◽  
Delorme's Procedure

Background: There are versatile operative techniques for treating complete rectal prolapse. Every procedure has some advantages and disadvantages. Delorme’s procedure and abdominal rectopexy (Well’s procedure) have gained more popularity. But to determine which approach is better, it is needed to evaluate the functional outcome of both procedures. Objective: To compare the outcome of Delorme’s procedure and abdominal rectopexy to treat complete rectal prolapse. Methodology: A randomized control trial was conducted in 25 patients with complete rectal prolapse in the department of Surgery, RMCH. They were divided into two groups by randomization. Fifteen patients included in Group-I underwent Delorme’s procedure, and ten patients included in group-II underwent abdominal rectopexy (Well’s procedure). The outcome of both procedures was compared postoperatively.  Results: In group-1, we have found uneventful outcomes of 10 (66.66%) patients, and hemorrhage, minor incontinence, and retention of urine were found in 2(13.3%), 1(6.66), and 4(26.66%) patients, respectively. In group-2 patients, 5(50%) patients recovered uneventfully, whereas hemorrhage, surgical site infection, retention of urine, bladder dysfunction, and constipation were found in 2(20%), 1(10%), 1(10%), 1(10%) and 2(20%) patients respectively. The mean operation time in group-I was 92.86 min and in Group 2 was 124.00 min with a p-value of 0.001. The average post-operative hospital stay after Delorme’s procedure was <4 days in 4 patients and 4-6 days in the rest 11 patients. But the hospital stay is a little lengthier in the case of abdominal rectopexy (Well’s procedure), where seven patients were discharged within 4-6 days, and three patients were discharged after the 5th day of operation. In group I, expenditure was <7000 taka in 10 (66.66%) patients, whereas in group-2 , the cost was 10000-15000 in 7(70%) patients with a p-value of 0.001. Conclusion: We can conclude that Delorme’s procedure is comparatively safer and cost-effective than Well’s procedure, considering different vital parameters. TAJ 2021; 34: No-1: 40-46

scholarly journals Comparative study between Delorme operation with or without postanal repair and levateroplasty in treatment of complete rectal prolapse

2013 ◽  
Vol 11 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Mohamed Youssef ◽  
Waleed Thabet ◽  
Ayman El Nakeeb ◽  
Alaa Magdy ◽  
Emad Abd Alla ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Comparative Study ◽  
Complete Rectal Prolapse ◽  
Postanal Repair

Laparoscopic prosthesis fixation rectopexy for complete rectal prolapse

1994 ◽  
Vol 81 (1) ◽  
pp. 138-139 ◽  
Author(s):  
A. Cuschieri ◽  
S. M. Shimi ◽  
G. Vander Velpen ◽  
S. Banting ◽  
R. A. B. Wood
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Prosthesis Fixation
Sign in / Sign up

Export Citation Format

Share Document