scholarly journals Perineal Rectosigmoidal Resection for Complete Rectal Prolapse

2021 ◽  
Vol 9 (B) ◽  
pp. 1727-1729
Author(s):  
Hussein Alkatrani ◽  
Mamoon Mahmood Basrah
Keyword(s):  
Retrospective Study ◽  
Rectal Prolapse ◽  
General Condition ◽  
Complication Rate ◽  
Rectal Wall ◽  
Major Complication ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Operative Outcomes ◽  
Bleeding Per Rectum

BACKGROUND: Rectal prolapse (RP) (rectal Providencia) is a disorder manifest by full-thickness intussusceptions of the rectal wall that protrudes externally through the anus. AIM: A retrospective study was done to evaluate the outcome of rectosigmoidal resection for complete rectal prolapse (CRP) in our hospital from 2008 to 2020. METHODS: This study analyzes the data of post-operative outcomes for 25 patients with CRP treated by perineal rectosigmoidal resection; eight patients were male and 17 were female. RESULTS: A total of 25 patients enrolled with the median age of 50 years. There was an improvement in the general condition of patients regarding constipation, bleeding per rectum, incontinence, and perineal discomfort. There were no mortality, no major complication, and a low recurrence rate. CONCLUSION: Altemier’s procedure for CRP improves patients’ general condition regarding constipation and incontinence, no mortality, low complication rate, and negligible rate of recurrence.

scholarly journals A retrospective study of rectal prolapse in Chitwan Medical College

2018 ◽  
Vol 8 (1) ◽  
pp. 59-61
Author(s):  
Abhishek Bhattarai ◽  
Kishore Kumar Tamrakar ◽  
Pragya Devkota ◽  
Keshar Bahadur Shah ◽  
Bimochan Piya
Keyword(s):  
Retrospective Study ◽  
Rectal Prolapse ◽  
Emergency Management ◽  
Anal Verge ◽  
Operative Intervention ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Anorectal Disease ◽  
Medical College ◽  
Choice Of Procedure

Rectal prolapse (RP) is an unusual anorectal disease affecting both children and adults. Complete rectal prolapse represents full thickness protrusion of the rectum through the anal verge. Incarceration and strangulation are the most unusual, but dreaded complications of rectal prolapse that requires a surgical emergency. Management of such complications is still controversial. Some prefer conservative management by application of sugar while other preferred operative intervention. When prolapse is not reducible and a sign of ischemia is present the operative intervention is inevitable. The choice of procedure also varies. The Altemeierperineal rectosigmoidectomy remains the best treatment of such emergency conditions.

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.

Rectal Prolapse: Perineal Procedures

2019 ◽  
Author(s):  
Steven D. Wexner ◽  
Susan M. Cera ◽  
Victoria Valinluck Lao
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Key Words ◽  
Rectal Wall ◽  
Preoperative Evaluation ◽  
Full Thickness ◽  
Recent Advances

Rectal prolapse is a condition wherein a full thickness intussusception of the rectal wall protrudes out of the anus. The diagnosis is rare, ~ 0.5% of the population, and occurs most often in elderly females. The diagnosis is associated with constipation, fecal incontinence, or both. The repair of rectal prolapse can be divided into perineal and abdominal procedures. In this review, we will discuss preoperative evaluation, management and planning as well as describe key widely accepted perineal procedures, the Delorme and Altemeier, and report recent advances. Abdominal procedure and advances in that arena will be discussed in a separate review. This review contains 9 figures, 7 tables, and 32 references.  Key words: Rectal prolapse, perineal procedure, resection, Altemeier, Delorme, Thiersch wire, perineal stapled resection, levatoroplasty

Rectal Prolapse: Abdominal Procedures

2019 ◽  
Author(s):  
Steven D. Wexner ◽  
Susan M. Cera ◽  
Victoria Valinluck Lao
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Key Words ◽  
Sigmoid Colon ◽  
Rectal Wall ◽  
Full Thickness ◽  
Resection Rectopexy ◽  
Benign Condition ◽  
Operative Evaluation

Rectal prolapse is the full thickness intussusception of the rectal wall with protrusion out of the anus.  It is a benign condition associated with multiple anatomic abnormalities such as a redundant sigmoid colon, attenuation of sacral attachments, diastasis of the levators, a patulous anus, and a deep cul-de-sac.  It often presents with concomitant symptoms of fecal incontinence and constipation, or both.  In this review, we will discuss widely accepted abdominal procedures for the repair of rectal prolapse as well as advances in the arena.  Pre-operative evaluation, management and planning as well as perineal procedures are discussed in a separate review. This review contains 9 figures, 1 table, and 44 references.  Key Words:  Rectal prolapse, abdominal procedures, resection, rectopexy, mesh, laparoscopic, robotic

scholarly journals Outcome of Delorme's Procedure for Full-Thickness Rectal Prolapse: Our experience in Bangabandhu Sheikh Mujib Medical University, Dhaka

2016 ◽  
Vol 10 (2) ◽  
pp. 55-58
Author(s):  
Tariq Akhtar Khan ◽  
Md Shahadot Hossain Sheikh ◽  
Md Abu Taher ◽  
Md Rayhanur Rahman ◽  
Md Rashidul Islam ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Operative Time ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Patient Reported ◽  
Delorme’S Procedure ◽  
The Mean ◽  
Medical University ◽  
Delorme's Procedure

The study was undertaken to determine the efficacy and safety profile of Delorme's procedure as the treatment for full-thickness rectal prolapse. In this study, outcome of Delorme's procedure for full-thickness rectal prolapse were assessed retrospectively. All the patients who underwent this surgery (22 patients) from July, 2013 to June, 2015 were included in the study. There were 18 males and 4 females with mean age of 37.4 years (range 12-70). The mean operative time was 92.6 minutes (Range 60-180 minutes). There was no mortality and blood loss was minimal. Mean hospital stay was 3.5 days (2-6 days). Outcomes of the procedure were satisfactory and no patient reported recurrence of the disease within the follow up period. Delorme's operation is safe and effective treatment for complete rectal prolapse in patients of all age and sex.Faridpur Med. Coll. J. Jul 2015;10(2): 55-58

scholarly journals A retrospective study of the short-term complication rate following 750 elective elbow arthroscopies

2014 ◽  
Vol 27 (01) ◽  
pp. 68-73 ◽  
Author(s):  
L. Li ◽  
K. L. Perry
Keyword(s):  
Retrospective Study ◽  
Complication Rate ◽  
Articular Surface ◽  
Perioperative Complications ◽  
Small Animal ◽  
Major Complication ◽  
Complication Rates ◽  
Repeat Surgery ◽  
Elbow Arthroscopy ◽  
Surface Examination

SummaryArthroscopy is the gold standard for articular surface examination and is commonly advocated for diagnosing and treating cases of canine elbow dysplasia. Arthroscopy is generally regarded as a low-risk procedure, however there is a paucity of information in the small animal veterinary literature regarding the associated complication rates. In a retrospective study spanning a ten year period, 750 elective elbow arthroscopies were evaluated. Complications necessitating repeat surgery were defined as major, and were documented in 4.8% of dogs. Minor perioperative complications occurred in 17.1% dogs. The failure of arthroscopic treatment necessitating unplanned conversion to arthrotomy was the most frequently encountered complication in this category, having been reported in five percent of dogs. Minor postoperative complications occurred in 10.7% dogs; these included a worsened postoperative lameness (5.5%), severe pain (2.8%), severe swelling (2%), infection (0.2%), and neurapraxia (0.2%). A total of 204 dogs returned for a postoperative re-examination and in seven percent, lameness was more severe than that noted preoperatively. The results of the study show that the major complication rate associated with elective elbow arthroscopy is low, but that the minor peri- and postoperative complication rate is concerning. These findings will assist veterinarians in their preoperative discussions with owners to ensure the achievement of informed consent.

Repair of short full-thickness rectal prolapse by transanal double circular stapled partial rectal wall resection

2007 ◽  
Vol 39 (6) ◽  
pp. 364-367
Author(s):  
I. Tarantino ◽  
A. Zerz ◽  
B. P. Müller-Stich ◽  
F. Ahmad ◽  
M. Zadnikar ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Rectal Wall ◽  
Full Thickness
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