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[Rectal prolapse].

F Lazorthes1, A Liagre, F Iovino

  • 1Service de Chirurgie Digestive, Hôpital Purpan - Toulouse. lazorthes.f@chu-toulouse.fr.

Journal De Chirurgie
|June 23, 2000
PubMed
Summary
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Rectal prolapse and intussusception are stages of the same condition. Abdominal rectopexy is effective for prolapse but may cause constipation; preserving lateral rectal sides reduces this risk.

Area of Science:

  • Gastroenterology and Colorectal Surgery

Context:

  • Rectal prolapse and rectal intussusception are distinct manifestations of a shared underlying pathology.
  • While rectal prolapse necessitates surgical intervention, rectal intussusception requires treatment only when it extends into the anal sphincter.

Purpose:

  • To elucidate the relationship between rectal prolapse and intussusception.
  • To compare surgical outcomes and risks associated with different treatment modalities for these conditions.

Summary:

  • Rectal prolapse, though uncommon, is effectively managed with abdominal rectopexy, with reduced postoperative constipation observed when lateral rectal dissection is minimized.
  • The Delorme procedure is reserved for high-risk patients due to its higher recurrence rate.
  • Rectal intussusception, particularly when involving the anal sphincter, may necessitate rectopexy, especially if leading to solitary rectal ulcer; its role in terminal constipation remains unclear, with internal mucosectomy suggested as a potential treatment.

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Impact:

  • Provides insights into surgical decision-making for rectal prolapse and intussusception.
  • Highlights strategies to mitigate postoperative constipation following abdominal rectopexy.
  • Informs treatment approaches for solitary rectal ulcer and terminal constipation.