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Results for “RECTAL PROLAPSE”

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PubMed1972

Rectal prolapse.

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Female↗
PubMedDate not supplied

[Rectal prolapse].

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Adult↗
PubMedDate not supplied

Surgical treatment of complete rectal prolapse.

The Ripstein procedure was used to effect a cure of rectal procidentia in 30 patients. There was no operative mortality, and morbidity was confined to problems related to two patients with intestinal obstruction, one with fecal impaction, and one with wound infection. We believe the operation to be the treatment of choice in patients to control the anatomic and clinical abnormalities related to rectal procidentia. Associated colonic abnormalities, such as an extremely redundant sigmoid or associated diverticulitis, may dictate the choice of a different procedure that does not require introduction of a foreign material.

Adult↗
PubMedDate not supplied

[Rectal prolapse].

BACKGROUND: Numerous techniques have been developed in order to treat rectal procidentia, an uncommon pathology that is managed occasionally by the general surgeon. PURPOSE: This review article was performed in order to discuss the most recent changes in the pathophysiology, diagnosis and management of rectal procidentia. RESULTS: The pathophysiology and clinical characteristics of rectal procidentia are discussed. There are numerous alternatives for surgical treatment, but the most employed techniques include rectopexy with or without sigmoid resection. CONCLUSION: The better understanding of the physiopathology, the increasingly accurate evaluation of the anorectal function and its disorders, and the development of new biocompatible materials and finer techniques offer the patient the treatment that better suits to his or her particular problem.

Colon, Sigmoid↗
PubMed1994

[Etiology and therapy of rectal prolapse. Experiences with 308 cases 1956-1991].

The cause of a prolapse of the rectum is intrinsic to the organ itself. Neither paralysis of the pelvic floor sphincter complex nor a loosening of the suspending ligaments--which have never been demonstrated in situ--are causative. Determining for the development of a prolapse of the rectum is the break in calibre between the very tight pelvic colon and the wide rectal reservoir. Radiologically we can prove that it is here, where the genesis of prolapse development starts. In comparative anatomy the rectal ampulla is equivalent to the cloaca. Its stable transverse folds (rugae) are reminiscent to the transverse folds of a cloaca anlage, e.g. in the crocodile. A rectal prolapse only includes this cloaca equivalent. For this reason it is never larger than about the size of a fist. Rectosigmoid resection, by removing the calibre break, removes the cause. The involved sigmoid resection also improves the symptoms of constipation. 107 cases operated by peripheral procedures had a recurrence rate of 23.3%, whereas 202 operations removing the calibre break had recurrences in only 3.8% of the cases. Here the calibre break resection has had the best permanent results with a follow-up period up to 30 years.

Adult↗