scholarly journals Full thickness posterior rectal wall prolapse and anterior rectocele

2016 ◽  
Author(s):  
Vikas Shah
Keyword(s):  
Rectal Wall ◽  
Full Thickness ◽  
Posterior Rectal Wall ◽  
Anterior Rectocele

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

Laparoscopic disk excision and primary repair of the anterior rectal wall for the treatment of full-thickness bowel endometriosis

1994 ◽  
Vol 8 (6) ◽  
pp. 682-685 ◽  
Author(s):  
C. Nezhat ◽  
F. Nezhat ◽  
E. Pennington ◽  
C. H. Nezhat ◽  
W. Ambroze
Keyword(s):  
Rectal Wall ◽  
Primary Repair ◽  
Anterior Rectal Wall ◽  
Full Thickness ◽  
Bowel Endometriosis

scholarly journals Anorectal injury related to a personal watercraft: a case report and literature review

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kaoru Katano ◽  
Yuichiro Furutani ◽  
Chikashi Hiranuma ◽  
Masakazu Hattori ◽  
Kenji Doden ◽  
...  
Keyword(s):  
High Speed ◽  
Rectal Wall ◽  
Rear Seat ◽  
Water Jets ◽  
Posterior Rectal Wall ◽  
Free Air ◽  
Personal Watercraft ◽  
Life Threatening ◽  
Water Recreation ◽  
Diverting Colostomy

Abstract Background Douche injury is a rare consequence of water recreation activities. Generally, this type of trauma occurs when people fall into the water in a sitting position during high-speed activities such as using a personal watercraft (PWC). Here, we report a rare case of anorectal injury caused by water jets from a PWC during sudden acceleration from rest. Case presentation A 21-year-old male passenger on a PWC fell off backward from the rear seat when the craft suddenly accelerated. He fell into the water in a supine position with his legs open, and the water jets of the PWC struck his perineum directly. Thereafter, bleeding from the anus was seen, and he was transferred to our hospital. On physical examination, there was a deep laceration interrupting the external anal sphincter in the posterior rectal wall. Abdominal computed tomography revealed a full-layer perforation of the posterior rectal wall and leakage of feces into the extraperitoneal space, but intraperitoneal free air was not seen. Laparoscopic sigmoid loop colostomy and primary suturing of the sphincter and mucosa were performed. He did not have any complications and was discharged from our hospital 16 days after the surgery. His anal function was almost perfectly preserved, and his diverting colostomy was closed 4 months later. Conclusion Anorectal injuries related to PWCs can occur not only while traveling at high speeds, but also when suddenly accelerating from rest. A diverting colostomy should be performed for this type of trauma. In these trauma cases, clinicians must suspect complex and life-threatening anorectal injuries early.

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 Khubchandani’s procedure combined with stapled posterior rectal wall resection for rectocele

2019 ◽  
Vol 25 (11) ◽  
pp. 1421-1431 ◽  
Author(s):  
Yi Shao ◽  
Yong-Xing Fu ◽  
Qing-Fa Wang ◽  
Zhi-Qiang Cheng ◽  
Guang-Yong Zhang ◽  
...  
Keyword(s):  
Rectal Wall ◽  
Posterior Rectal Wall

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

scholarly journals Functional results after surgery for obstructed defecation

2012 ◽  
Vol 59 (2) ◽  
pp. 25-29 ◽  
Author(s):  
Evaghelos Xynos
Keyword(s):  
Rectal Wall ◽  
Obstructed Defecation ◽  
Rectal Mucosa ◽  
Functional Results ◽  
Rectal Intussusception ◽  
Anterior Rectal Wall ◽  
Anterior Rectocele ◽  
Suture Rectopexy ◽  
Selection Of Patients ◽  
Selection Of

Obstructed defecation (OD) syndrome is associated with several abnormalities of the pelvic organs, namely anterior rectal mucosa prolapse, anterior rectocele, recto-anal intussusception, and a deep Douglas pouch which predisposes to enterocele or rectocele. Surgical repair of the anatomical deformities should be attempted, only after thorough selection of patients and conservative treatment has been exhausted. Transperineal procedures include resection-plication of the anterior rectal wall and stapled transanal rectal resection, and are indicated for the treatment of anterior rectocele and internal rectal prolapse. Functional results are satisfactory in approximately 75 percent of the cases. Transabdominal procedures include posterior prosthesis rectopexy, resection suture-rectopexy and ventral prosthesis colporectopexy. These procedures are indicated in patients with large rectocele and rectal intussusception and enterocele or sigmoidocele. The rate of repair of anatomical deformities is very high and improvement of symptoms is accounted in more than 80 percent of the cases. Ventral prosthesis colporectopexy seems a very promising approach, but further evidence is mandatory.

scholarly journals Rectum Protection by Rectal Gel Injection in Cervical Cancer Brachytherapy: A Dosimetric Study via Deformable Surface Dose Accumulation and Machine-Learning-Based Discriminative Modeling

2021 ◽  
Vol 11 ◽  
Author(s):  
Xuetao Wang ◽  
Bailin Zhang ◽  
Qiang He ◽  
Yilin Kong ◽  
Zhenhui Dai ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cervical Cancer ◽  
Rectal Wall ◽  
High Dose Rate ◽  
High Dose ◽  
Surface Dose ◽  
Registration Method ◽  
Dose Accumulation ◽  
Posterior Rectal Wall ◽  
Dose Volume

PurposeThis retrospective study aimed to evaluate the dosimetric effects of a rectal insertion of Kushen Ningjiao on rectal protection using deformable dose accumulation and machine learning–based discriminative modelling.Materials and MethodsSixty-two patients with cervical cancer enrolled in a clinical trial, who received a Kushen Ningjiao injection of 20 g into their rectum for rectal protection via high–dose rate brachytherapy (HDR-BT, 6 Gy/f), were studied. The cumulative equivalent 2-Gy fractional rectal surface dose was deformably summed using an in-house-developed topography-preserved point-matching deformable image registration method. The cumulative three-dimensional (3D) dose was flattened and mapped to a two-dimensional (2D) plane to obtain the rectal surface dose map (RSDM). For analysis, the rectal dose (RD) was further subdivided as follows: whole, anterior, and posterior 3D-RD and 2D-RSDM. The dose–volume parameters (DVPs) were extracted from the 3D-RD, while the dose geometric parameters (DGPs) and textures were extracted from the 2D-RSDM. These features were fed into 192 classification models (built with 8 classifiers and 24 feature selection methods) for discriminating the dose distributions between pre-Kushen Ningjiao and pro-Kushen Ningjiao.ResultsThe rectal insertion of Kushen Ningjiao dialated the rectum in the ambilateral direction, with the rectal column increased from pre-KN 15 cm3 to post-KN 18 cm3 (P < 0.001). The characteristics of DGPs accounted for the largest portions of the top-ranked features. The top-ranked dosimetric features extracted from the posterior rectum were more reliable indicators of the dosimetric effects/changes introduced by the rectal insertion of Kushen Ningjiao. A significant dosimetric impact was found on the dose–volume parameters D1.0cc–D2.5cc extracted on the posterior rectal wall.ConclusionsThe rectal insertion of Kushen Ningjiao incurs significant dosimetric changes on the posterior rectal wall. Whether this effect is eventually translated into clinical gains requires further long-term follow-up and more clinical data for confirmation.

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.

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