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Related Experiment Videos

[Surgical methods in anal and rectal prolapse].

S Kiene1

  • 1Klinik und Poliklinik für Chirurgie, Karl-Marx-Universität Leipzig, DDR.

Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
PubMed
Summary

The Milligan-Morgan procedure effectively cures adult anal prolapse. For low-risk patients, abdominal rectopexy is preferred for procidentia and incontinence, while obstipation remains a challenge.

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Area of Science:

  • Colorectal Surgery
  • Gastrointestinal Procedures

Background:

  • Anal prolapse, including procidentia, incontinence, and obstipation, requires surgical intervention.
  • The Milligan-Morgan procedure is a traditional method for treating anal prolapse.

Purpose of the Study:

  • To review and compare surgical approaches for adult anal prolapse.
  • To identify optimal repair strategies for different patient risk profiles and presenting symptoms.

Main Methods:

  • Review of surgical techniques for anal prolapse repair.
  • Comparison of abdominal rectopexy (Ripstein's procedure) and perineal approaches.
  • Evaluation of procedures for obstipation, such as rectopexy with sigmoid resection (Goldberg).

Main Results:

  • Abdominal rectopexy is recommended for low-risk patients with procidentia and incontinence.
  • Obstipation management remains challenging; rectopexy with sigmoid resection shows promise but carries a risk of leakage.
  • Perineal approaches and posterior levator plasty are suitable for high-risk patients and residual incontinence.

Conclusions:

  • Surgical management of anal prolapse should be tailored to patient risk and specific symptoms.
  • Abdominal rectopexy offers effective repair for procidentia and incontinence in low-risk individuals.
  • Further strategies are needed to address long-term obstipation and residual incontinence post-surgery.

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