What role does full rectal mobilization alone play in the treatment of rectal prolapse?

2001 ◽  
Vol 5 (1) ◽  
pp. 33-35 ◽  
Author(s):  
R. Nelson ◽  
J. Spitz ◽  
R.K. Pearl ◽  
H. Abcarian
Keyword(s):  
Rectal Prolapse ◽  
Rectal Mobilization

scholarly journals Assessment of incidence of recurrence and constipation in patients of rectal prolapse undergoing rectal mobilization only with division of lateral stalks

2020 ◽  
Vol 7 (9) ◽  
pp. 2859
Author(s):  
Devendra Chowdhary ◽  
Jyoti S. Maran ◽  
Gaurav Singh Rajput
Keyword(s):  
Rectal Prolapse ◽  
Prolapse Repair ◽  
Lateral Ligaments ◽  
High Incidence ◽  
Bleeding Per Rectum ◽  
Rectal Mobilization ◽  
Surgical Option ◽  
New Onset

Background: Rectal prolapse is a pelvic floor disorder that can occur in men and women of all ages. It results in pain, bleeding per rectum, seepage, diarrhoea or constipation and a disabled quality of life. With the advent of twentieth century, perineal operative procedures have become more common. Perineal procedures though have lower morbidities but have higher recurrence rate and high incidence of post-operative constipation. Novel abdominal approaches to rectal prolapse repair also became common during the first half of this century. Numerous types of surgical procedures have been attempted. Most techniques developed till now have some advantages and some short comings. CT Speakman and Pollen et al have shown in their studies   that division of lateral ligaments caused new onset constipation and they attributed this effect to denervation of rectum. As the issue of recurrence and post-operative constipation remained unsettled.Methods: This was an observational study to assess the incidence of recurrence and post-operative constipation in patients of rectal prolapse. In well selected patients, we performed complete rectal mobilization with division   of lateral ligaments. We assessed the patients on the basis of Clevland clinical constipation scoring system.Results: Out of 25 patients, 4 patients developed constipation, 2 had mild and 2 had moderate constipation and 2 patients had recurrence. Patients were kept under six monthly follow-up till a period of eighteen months.Conclusions: Only rectal mobilization with division of lateral ligaments can be a good surgical option in patients of rectal prolapse not having severe constipation.

Laparoscopic Rectopexy without Resection: A Worthwhile Treatment for Rectal Prolapse in Patients without Prior Constipation

2007 ◽  
Vol 73 (9) ◽  
pp. 858-861 ◽  
Author(s):  
Allen Hsu ◽  
Marc I. Brand ◽  
Theodore J. Saclarides
Keyword(s):  
Irritable Bowel Syndrome ◽  
Rectal Prolapse ◽  
Hospital Stay ◽  
Colonic Motility ◽  
Laparoscopic Approach ◽  
Levator Hiatus ◽  
Mesenteric Vessels ◽  
Rectal Mobilization ◽  
Irritable Bowel

Anterior resection with rectopexy is considered by many to be the best operation for rectal prolapse. It is feared that if sigmoid redundancy created by rectal mobilization is not resected, colonic motility (specifically constipation) could be disabling. We contend that resection is not necessary in patients without preexisting constipation. We tested this hypothesis using a laparoscopic approach to minimize hospital stay. Twelve patients were treated (eight women); mean age was 45 years (range, 25–82 years). No patient had preexisting constipation; one had irritable bowel syndrome. Three patients had prior prolapse operations. Full rectal mobilization was undertaken down to the levator hiatus; neither the mesenteric vessels nor the lateral ligaments were divided. Rectopexy to the presacral fascia was done with one to two Nurolon sutures on either side of the rectum. There were no complications; mean hospital stay was 4 days. Mean follow up was 32 months (range; 3–75 months); there have been no recurrences. Only the patient with irritable bowel syndrome developed significant constipation. We conclude: 1) rectopexy can be safely done laparoscopically, 2) resection is not required in the absence of prior constipation, and 3) rectal mobilization and rectopexy does not predispose to future constipation in these selected patients.

No Rectopexy Versus Rectopexy Following Rectal Mobilization for Full-Thickness Rectal Prolapse: A Randomized Controlled Trial

2011 ◽  
Vol 54 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Joshua R. Karas ◽  
Selman Uranues ◽  
Donato F. Altomare ◽  
Selman Sokmen ◽  
Zoran Krivokapic ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Rectal Prolapse ◽  
Controlled Trial ◽  
Full Thickness ◽  
Randomized Controlled ◽  
Rectal Mobilization

Rectal Prolapse Requires Individualized Approach to Therapy

Ob Gyn News ◽  
2005 ◽  
Vol 40 (8) ◽  
pp. 32
Author(s):  
SHARON WORCESTER
Keyword(s):  
Rectal Prolapse ◽  
Individualized Approach

Rectal Prolapse Requires Individualized Treatment

2005 ◽  
Vol 35 (9) ◽  
pp. 68
Author(s):  
SHARON WORCESTER
Keyword(s):  
Rectal Prolapse ◽  
Individualized Treatment

Transanal single port access to facilitate distral rectal mobilization: a step towards colorectal NOTES surgery

Endoscopy ◽  
2012 ◽  
Vol 44 (10) ◽  
Author(s):  
AM Wolthuis ◽  
A D'Hoore
Keyword(s):  
Single Port ◽  
Single Port Access ◽  
Port Access ◽  
Rectal Mobilization
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