(Rectal Prolapse) articles in PubMed
- Local repair of stoma prolapse: Case report of an in vivo application of linear stapler devices. [Journal Article]
- Ann Med Surg (Lond) 2016; 11:32-5AM
- CONCLUSIONS: We detail in step-wise fashion a technique using linear stapler devices that can be used to locally revise prolapsed stoma segments and therefore avoid a laparotomy. The procedure is technically easy to perform with satisfactory post-operative outcomes. We additionally review all previous reports of local repairs and show the evolution of local prolapse repair to the currently reported technique.This report offers surgeons an alternative, efficient and effective option for addressing the complications of stoma prolapse. While future studies are needed to assess long-term outcomes, in the short-term, our report confirms the safety and effectiveness of this local technique.
- Vaginal prolapse with urinary bladder incarceration and consecutive irreducible rectal prolapse in a dog. [Journal Article]
- Acta Vet Scand 2016; 58(1):54AV
- CONCLUSIONS: In our opinion, extreme tenesmus arising from constipation may have predisposed to the vaginal prolapse with bladder incarceration and secondarily to rectal prolapse. In the young female dog, true vaginal prolapse with secondary involvement of the urinary bladder and irreducible rectal prolapse is an exceptionally rare condition.
- Short term outcome of laparoscopic ventral rectopexy for rectal prolapse. [Journal Article]
- Pak J Med Sci 2016 Jul-Aug; 32(4):875-9PJ
- CONCLUSIONS: This study provides the limited evidence that nerve sparing laparoscopic ventral rectopexy is safe and effective treatment of external and symptomatic internal rectal prolapse. It has better cosmetic and functional outcome as advantages of minimal access and comparable recurrence rate.
- Complete rectal prolapse vs prolapsed hemorrhoids: points to ponder. [Journal Article]
- Pan Afr Med J 2016; 24:88PA
- Laparoscopic ventral rectopexy in male patients with external rectal prolapse is associated with a high reoperation rate. [Journal Article]
- Tech Coloproctol 2016 Sep 19TC
- CONCLUSIONS: Laparoscopic ventral rectopexy is a safe surgical procedure in male patients with external prolapse. However, a high overall reoperation rate was noticed due to recurrent rectal and residual mucosal prolapse. This suggests that the ventral rectopexy technique should be modified or combined with other abdominal or perineal methods when treating male rectal prolapse patients.
- Colonic prolapse after intersphincteric resection for very low rectal cancer: a report of 12 cases. [Journal Article]
- Tech Coloproctol 2016 Sep 8TC
- CONCLUSIONS: We believe surgery must be attempted in these patients who develop CP after ISR with CAA for very low rectal cancer in order to improve function and symptoms. A transanal approach with CP resection and new end-to-end anastomosis appeared to be safe and effective. Larger studies are needed to confirm our results.
- Robot-Assisted Sacrocolporectopexy for Multicompartment Prolapse of the Pelvic Floor: A Prospective Cohort Study Evaluating Functional and Sexual Outcome. [Journal Article]
- Dis Colon Rectum 2016; 59(10):968-74DC
- CONCLUSIONS: This was a observational study with a limited follow-up, no control group, and no preoperatively validated constipation score.Robot-assisted sacrocolporectopexy is a safe and effective technique for multicompartment prolapse in terms of functional outcome, quality of life, and sexual function.
- Rectal prolapse traumatizes rectal neuromuscular microstructure explaining persistent rectal dysfunction. [Journal Article]
- Int J Colorectal Dis 2016 Sep 6IJ
- CONCLUSIONS: Rectal prolapse traumatizes the rectum causing neuromuscular defects. The tissue trauma is due to shearing forces and ischemia caused by the intussusception. This initiates a self-reinforcing vicious circle of physical and functional obstruction, further impairing rectal evacuation and causing constipation and incontinence. The correlation between extent of prolapse and age suggests that internal rectal prolapse can be considered a degenerative disorder. Neural and motor defects in the wall of the rectum caused by rectal prolapse are likely irreversible.
- [Laparoscopic sacrocolpopexy for pelvic organ prolapse: guidelines for clinical practice]. [Journal Article]
- Prog Urol 2016; 26 Suppl 1:S27-37PU
- Open sacrocolpopexy have demonstrated its efficiency in surgical treatment of pelvic organ prolapse with an important backward on a large number of patients. Laparoscopic sacrocolpopexy reproduced th...
Open sacrocolpopexy have demonstrated its efficiency in surgical treatment of pelvic organ prolapse with an important backward on a large number of patients. Laparoscopic sacrocolpopexy reproduced the same surgical technique with reduced morbidity and may benefits from the recent development of robotic. Numerous technical variants have been developped around the original procedure but results seems not ever equivalent. Our objectives are to establish practical recommendations issues from the data of the litterature on the various technical aspects of this technique.
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- Optimizing Treatment for Rectal Prolapse. [Journal Article]
- Clin Colon Rectal Surg 2016; 29(3):271-6CC
- Rectal prolapse is associated with debilitating symptoms and leads to both functional impairment and anatomic distortion. Symptoms include rectal bulge, mucous drainage, bleeding, incontinence, const...
Rectal prolapse is associated with debilitating symptoms and leads to both functional impairment and anatomic distortion. Symptoms include rectal bulge, mucous drainage, bleeding, incontinence, constipation, tenesmus, as well as discomfort, pressure, and pain. The only cure is surgical. The optimal surgical repair is not yet defined though laparoscopic rectopexy with mesh is emerging as a more durable approach. The chosen approach should be individually tailored, taking into account factors such as presence of pelvic floor defects and coexistence of vaginal prolapse, severe constipation, surgical fitness, and whether the patient has had a previous prolapse procedure. Consideration of a multidisciplinary approach is critical in patients with concomitant vaginal prolapse. Surgeons must weigh their familiarity with each approach and should have in their armamentarium both perineal and abdominal approaches. Previous barriers to abdominal procedures, such as age and comorbidities, are waning as minimally invasive approaches have gained acceptance. Laparoscopic ventral rectopexy is one such approach offering relatively low morbidity, low recurrence rates, and good functional improvement. However, proficiency with this procedure may require advanced training. Robotic rectopexy is another burgeoning approach which facilitates suturing in the pelvis. Successful rectal prolapse surgeries improve function and have low recurrence rates, though it is important to note that correcting the prolapse does not assure functional improvement.