A modified thiersch operation in treatment of complete rectal prolapse

1959 ◽  
Vol 2 (6) ◽  
pp. 555-561 ◽  
Author(s):  
Ralph M. Burke ◽  
Raymond J. Jackman
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Thiersch Operation

scholarly journals A Clinical Study of Complete Rectal Prolapse Treated with PPH+Thiersch Operation for Minimally Invasive Surgery

2005 ◽  
Vol 38 (1) ◽  
pp. 121-125
Author(s):  
Yasuo Kabeshima ◽  
Nobuko Tano ◽  
Noriaki Kameyama ◽  
Atsushi Toizumi ◽  
Yoichiro Tamura ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Clinical Study ◽  
Minimally Invasive ◽  
Rectal Prolapse ◽  
Invasive Surgery ◽  
Complete Rectal Prolapse ◽  
Thiersch Operation

scholarly journals Perineal stapled prolapse resection in combination with Thiersch operation for relapsed rectal prolapse: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Teppei Kamada ◽  
Hironori Ohdaira ◽  
Junji Takahashi ◽  
Yoshinobu Fuse ◽  
Wataru Kai ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Rectal Prolapse ◽  
General Anesthesia ◽  
Aortic Valve Stenosis ◽  
Linear Stapler ◽  
Complete Rectal Prolapse ◽  
Postoperative Course ◽  
Axis Direction ◽  
Perineal Stapled Prolapse Resection ◽  
Thiersch Operation

Abstract Background Treatment options for complete rectal prolapse include over 100 procedures. In previous reports, operative rectal prolapse repair, regardless of the technique by perineal approach, was associated with high recurrence rates. However, there is no consensus on the optimal surgical procedure for relapsed rectal prolapse. Case presentation A 97-year-old woman was admitted to our hospital with a chief complaint of complete rectal prolapse measuring > 5 cm. The patient had a history of laparoscopic anterior suture rectopexy without sigmoid resection under general anesthesia for complete rectal prolapse one year prior. The patient’s postoperative course was uneventful. However, her dementia worsened (Hasegawa’s dementia scale: 5/30 points) after the first operation. Further, moderate-to-severe aortic valve stenosis was first diagnosed with heart failure 6 months after the operation. Nine months after the initial surgery, she experienced a recurrence of complete rectal prolapse measuring approximately 5 cm. Considering the coexistence of advanced age, severe dementia, and aortic valve stenosis, surgery under general anesthesia was not indicated. Perineal stapled prolapse resection in combination with the t operation was planned because of its minimal invasiveness and shortened hospital stay. The procedure was performed by a team of two surgeons in the jack knife position, under spinal anesthesia. The prolapse was cut along the long-axis direction with three linear staplers and resected along the short-axis direction with four linear staplers. The cross-section of the linear stapler was reinforced with 3-0 Vicryl sutures. After rectal resection, the Thiersch operation using 1-0 nylon thread 1 cm away from the anal verge was additionally performed. The operative time was 24 min, and intraoperative blood loss was 1 mL. The postoperative course was uneventful. Three months after the operation, no recurrence was observed, and defecation function was good with improvements of Wexner score. Conclusions Perineal stapled prolapse resection in combination with the Thiersch operation could be a useful option for patients with relapsed rectal prolapse and with poor general condition, who are not indicated for other surgical procedures.

A modified thiersch operation for complete rectal prolapse using a teflon prosthesis

1963 ◽  
Vol 6 (3) ◽  
pp. 192-195 ◽  
Author(s):  
Benjamin Haskell ◽  
Harold Rovner
Keyword(s):  
Rectal Prolapse ◽  
Complete Rectal Prolapse ◽  
Thiersch Operation

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.

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