Journal article
Optimizing Treatment for Rectal Prolapse
Clinics in colon and rectal surgery, Vol.29(3), pp.271-276
Hot Topics in Colorectal Surgery
09/2016
DOI: 10.1055/s-0036-1584505
PMCID: PMC4991961
PMID: 27582654
Abstract
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.
Details
- Title: Subtitle
- Optimizing Treatment for Rectal Prolapse
- Creators
- Jennifer Hrabe - Department of Colorectal Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, OhioBrooke Gurland - Department of Colorectal Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, Ohio
- Resource Type
- Journal article
- Publication Details
- Clinics in colon and rectal surgery, Vol.29(3), pp.271-276
- Publisher
- Thieme Medical Publishers; 333 Seventh Avenue, New York, NY 10001, USA
- Series
- Hot Topics in Colorectal Surgery
- DOI
- 10.1055/s-0036-1584505
- PMID
- 27582654
- PMCID
- PMC4991961
- ISSN
- 1531-0043
- eISSN
- 1530-9681
- Language
- English
- Date published
- 09/2016
- Academic Unit
- Surgery
- Record Identifier
- 9984051775202771
Metrics
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