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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Inflammatory Bowel Disease V: Surgical Management

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Related Experiment Video

Updated: Jun 1, 2026

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

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse

Published on: September 13, 2022

Rectal prolapse: a 10-year experience.

Kerry Hammond1, David E Beck, David A Margolin

  • 1Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, LA.

Ochsner Journal
|May 24, 2011
PubMed
Summary
This summary is machine-generated.

Perineal repairs for rectal prolapse are preferred due to shorter hospital stays and similar recurrence rates compared to abdominal procedures. These findings support perineal approaches as a favorable surgical option.

Keywords:
AltemeierDelormeRectal prolapseprocedentiarecurrence

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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Area of Science:

  • Colorectal surgery
  • Surgical outcomes research
  • Gastrointestinal disease management

Background:

  • Rectal prolapse is a condition requiring surgical intervention.
  • Both perineal and abdominal approaches are utilized for surgical repair.
  • Understanding long-term outcomes and comparative effectiveness is crucial for patient care.

Purpose of the Study:

  • To compare the outcomes of perineal versus abdominal surgical procedures for rectal prolapse.
  • To evaluate surgical techniques over a 10-year period at a single tertiary care institution.

Main Methods:

  • Retrospective analysis of 75 patients undergoing surgery for primary rectal prolapse between 1995 and 2005.
  • Procedures included perineal-based repairs (Altemeier, Delorme) and abdominal procedures (open/laparoscopic resection/rectopexy).
  • Data abstracted included patient characteristics, surgical technique, hospitalization, morbidity, mortality, and recurrence rates.

Main Results:

  • Perineal repairs were performed in 82.7% of patients, primarily older individuals.
  • Average hospitalization was significantly shorter for perineal procedures (2.6 days) versus abdominal (4.8 days).
  • Overall recurrence rate was 16%, with similar rates for both approaches (16.1% perineal, 15.4% abdominal); morbidity was 13% with no mortality.

Conclusions:

  • Perineal procedures are more frequently utilized, particularly in older patients.
  • Shorter hospital stays and comparable recurrence rates favor perineal repairs.
  • Minimal morbidity and comparable efficacy suggest perineal procedures are a preferred option for rectal prolapse surgery.