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Related Concept Videos

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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
03:43

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Published on: September 13, 2022

Perineal approaches to rectal prolapse.

Mari A Madsen1

  • 1Department of Colon and Rectal Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. madsenm@cshs.org

Clinics in Colon and Rectal Surgery
|December 17, 2009
PubMed
Summary

Surgical management for rectal prolapse often requires intervention. This chapter focuses on perineal surgical approaches, detailing their techniques, benefits, and potential complications for specific patient groups.

Keywords:
Rectal prolapseperineal proceduresprocidentiarectal mucosal prolapse

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Full-thickness rectal prolapse typically necessitates surgical treatment.
  • Various surgical procedures exist for rectal prolapse management.
  • Perineal approaches are suitable for elderly, frail, or comorbid patients and for mucosal prolapse.

Purpose of the Study:

  • To review perineal surgical techniques for rectal prolapse.
  • To outline the advantages and complications associated with perineal approaches.
  • To provide guidance on the current use of perineal rectal prolapse surgery.

Main Methods:

  • Review of existing literature on perineal surgical techniques for rectal prolapse.
  • Analysis of advantages and complications of described perineal procedures.
  • Focus on current clinical applications in rectal prolapse management.

Main Results:

  • Perineal procedures offer a viable surgical option for specific patient populations.
  • Techniques vary, each with distinct benefits and risks.
  • These approaches are also indicated for rectal mucosal prolapse.

Conclusions:

  • Perineal surgery is a critical component in the management of rectal prolapse, especially for high-risk patients.
  • Understanding the nuances of these techniques is essential for optimal patient outcomes.
  • Further evaluation of specific perineal techniques may refine treatment strategies.