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[Rectal prolapse in adults].

W Heitland1

  • 1Chirurgische Klinik, Städtisches Krankenhaus München-Bogenhausen, Englschalkinger Strasse 77, 81927 Munich, Germany. WUHEITLAND@aol.com

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|August 17, 2004
PubMed
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Rectal prolapse etiology is unclear, but diagnosis is simple. The best surgical repair for rectal prolapse remains debated, with abdominal laparoscopic resection rectopexy currently favored.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • The exact cause of rectal prolapse is not fully understood.
  • Diagnosis is typically straightforward via local inspection.

Purpose of the Study:

  • To review the ideal characteristics of rectal prolapse surgery.
  • To discuss the ongoing controversy regarding the optimal surgical approach.

Main Methods:

  • Literature review and discussion of surgical techniques for rectal prolapse.
  • Evaluation of transanal/perineal versus abdominal approaches.
  • Consideration of resection and rectopexy.

Main Results:

  • No prospective-randomized studies definitively establish the best surgical method.
  • The ideal surgery should address prolapse, functional issues (incontinence, constipation), be minimally invasive, cost-effective, and have low morbidity/recurrence.

Related Experiment Videos

  • The abdominal/laparoscopic approach with resection rectopexy (Frykman and Goldberg) is suggested as the current best option.

    • Conclusions:

    • Surgical repair of rectal prolapse remains a subject of debate.
    • Minimally invasive and effective techniques are sought.
    • Laparoscopic resection rectopexy is a leading surgical option for rectal prolapse.