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Rectal prolapse: review according to the personal experience
1Department of Surgery, Seoul Song Do Hospital, Seoul, Korea.
Journal of the Korean Society of Coloproctology
|August 11, 2011
Summary
Treating rectal prolapse involves controlling the prolapse and restoring continence. Abdominal procedures generally offer better outcomes than perineal approaches, though patient-specific factors influence the optimal choice for rectal prolapse treatment.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Rectal prolapse treatment aims to control prolapse, restore continence, and improve evacuation.
- Numerous surgical options exist, categorized into perineal and abdominal approaches.
- Abdominal procedures typically yield lower recurrence rates and better functional outcomes compared to perineal methods.
Purpose of the Study:
- To review treatment options for rectal prolapse.
- To discuss the suitability of various procedures based on patient characteristics and outcomes.
Main Methods:
- Review of existing literature on rectal prolapse surgical treatments.
- Categorization of procedures into abdominal and perineal approaches.
- Discussion of laparoscopic techniques and specific procedures like Delorme-Thiersch and laparoscopic suture rectopexy.
Main Results:
- Abdominal procedures are generally associated with lower recurrence and better functional outcomes.
- Laparoscopic surgery has led to the development of laparoscopic procedures for complete rectal prolapse.
- Perineal procedures, like Delorme-Thiersch, are favored in some regions for specific patient groups due to being less invasive.
- Laparoscopic suture rectopexy is suggested for low-risk females or those concerned about incontinence.
Conclusions:
- The optimal treatment for rectal prolapse requires tailoring to individual patient and surgeon factors.
- While abdominal approaches often show better outcomes, perineal procedures have specific indications.
- Laparoscopic techniques offer advancements in rectal prolapse surgery.
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