Ligaments of the Rectum: Anatomical and Surgical Considerations

2014 ◽  
Vol 80 (3) ◽  
pp. 275-283 ◽  
Author(s):  
Ordessia Charran ◽  
Mitchel Muhleman ◽  
Sameer Shah ◽  
R. Shane Tubbs ◽  
Marios Loukas
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Rectal Prolapse ◽  
Anatomical Features ◽  
The Subject

The ligaments of the rectum have been the subject of controversy for decades. Not only have their contents and components been a source of contention, but also the very existence of these ligaments has been called into question. This article explores the anatomical features of these ligaments with implications for surgical treatment of rectal prolapse, rectal cancer, and resection of the rectum and mesorectum. A theory about the evolution of the lateral rectal ligaments and the mesorectum in humans and higher mammals is also presented.

scholarly journals Recurrence pattern of rectal cancer after surgical treatment. Analysis of 122 patients in a tertiary care center

2018 ◽  
Vol 38 (1) ◽  
pp. 18-23
Author(s):  
Gustavo Sevá-Pereira ◽  
Roberta Nascimento Cypreste ◽  
Joaquim José Oliveira Filho ◽  
Sandra Pedroso de Moraes ◽  
Paula Buozzi Tarabay
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Care Center ◽  
Tertiary Care ◽  
Recurrence Pattern ◽  
Tertiary Care Center ◽  
Treatment Analysis

Evaluation and surgical treatment of rectal prolapse: an international survey

2012 ◽  
Vol 15 (1) ◽  
pp. 115-119 ◽  
Author(s):  
H. A. Formijne Jonkers ◽  
W. A. Draaisma ◽  
S. D. Wexner ◽  
I. A. M. J. Broeders ◽  
W. A. Bemelman ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Rectal Prolapse ◽  
International Survey

scholarly journals Laparoscopic low anterior resection for rectal cancer with rectal prolapse: a case report

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Ryusei Yamamoto ◽  
Yasuji Mokuno ◽  
Hideo Matsubara ◽  
Hirokazu Kaneko ◽  
Shinsuke Iyomasa
Keyword(s):  
Rectal Cancer ◽  
Case Report ◽  
Rectal Prolapse ◽  
Anterior Resection ◽  
Low Anterior Resection ◽  
Laparoscopic Low Anterior Resection

Transition and improvement in surgical treatment for rectal cancer during the last 21 years in our department

2001 ◽  
Author(s):  
Yuji Oshima ◽  
Mutsumi Nozue ◽  
Hideki Taniguchi ◽  
Ken-Ichiro Seino ◽  
Naoto Koike ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment

Satisfaction With Life And Disease Acceptance By Patients With A Stomy Related To Surgical Treatment Of The Rectal Cancer – Determinants Of Quality Of Life?

2015 ◽  
Vol 87 (9) ◽  
Author(s):  
Andrzej Nowicki ◽  
Justyna Marciniak ◽  
Paulina Farbicka ◽  
Zbigniew Banaszkiewicz
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Satisfaction With Life ◽  
Early Postoperative Period ◽  
Moderate Level ◽  
University Hospital ◽  
Satisfaction With Life Scale ◽  
Satisfaction Level ◽  
Level Of Satisfaction ◽  
Acceptance Score

AbstractSatisfaction with life and disease acceptance by patients with a stomy related to surgical treatment of the rectal cancer depend on multiple factors. Such factors as social support, life conditions and time that elapsed after stomy creation, are very important in this context.was to conduct an early evaluation of life satisfaction and disease acceptance by patients with a stomy related to surgical treatment of the rectal cancer.The study was conducted at Dr. Jan Biziel University Hospital No. 2 in Bydgoszcz and at the prof. F. Łukaszczyk Oncology Centre in Bydgoszcz in 2014. The final analysis included 96 subjects aged 41-87 years (median 59 years). Satisfaction With Life Scale (SWLS) and Acceptance of Illness Scale (AIS) adapted by Zygfryd Juczyński, were used in this study.Most patients had satisfaction with life score of 5 or 6, 23 (24%) and 28 (29.2%) subjects, respectively. Twenty nine (30.2%) study subjects had low satisfaction level, while 16 (16.7%) had high satisfaction level. Average disease acceptance score was 23.2 points. Most patients, 71 (74%) had a moderate disease acceptance score, while the lowest number of subjects, 9 (9.4%), had high disease acceptance score. None of the study subjects who were under the care of a psychologist (14/100%) did not have a low acceptance level.Half of the study subjects had a moderate level of satisfaction with life. Most patients with stomy related to surgical treatment of the rectal cancer in an early postoperative period had moderate level of the disease acceptance. Patients with high level of satisfaction with life, accept the disease better. Few patients who used help by a psychologist, were two- and three-fold more likely to have higher level of satisfaction with life and disease acceptance, respectively.

The Surgical Treatment of Idiocy

1896 ◽  
Vol 42 (176) ◽  
pp. 54-62 ◽  
Author(s):  
G. E. Shuttleworth
Keyword(s):  
Surgical Treatment ◽  
Child Life ◽  
Operative Interference ◽  
Limited Experience ◽  
Cutting Out ◽  
The Subject ◽  
Popular Magazines

The fact that considerable attention has been drawn of late years, both in the medical and lay press, to the subject of operations undertaken for the relief of idiocy and other mental deficiencies of child-life, must be my excuse for taking up the time of this section with observations resting, not alone upon my own limited experience, but largely on that of others. The operation of craniectomy, or as some prefer to call it linear craniotomy (that is the cutting out of strips of bone from the skull), has, indeed, almost passed from the domain of science to the region of romance, and articles have appeared in several of our popular magazines under such sensational titles as “Creating a Mind,” which have led parents of mentally-deficient children to form extravagant conceptions of the powers of surgery in this direction. It may not, therefore, be inappropriate for medical men to weigh and measure the evidence which has accumulated during the last five years as to the possibilities and impossibilities of operative interference in these cases.

Analysis of a Surgical Treatment for Persistent Urorectal Fistulas after Radical Cancer Surgery: A Comparison of Prostate Cancer and Rectal Cancer

2017 ◽  
Vol 99 (1) ◽  
pp. 56-62 ◽  
Author(s):  
Yasuyuki Sakai ◽  
Yoshinobu Komai ◽  
Norio Saito ◽  
Masaaki Ito ◽  
Minoru Sakuraba
Keyword(s):  
Prostate Cancer ◽  
Rectal Cancer ◽  
Surgical Treatment ◽  
Cancer Surgery

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.

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