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Trans-anal endoscopic microsurgery for internal rectal prolapse
A L A Bloemendaal1, M De Schepper2, A Mishra2
1Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK. bobbloemendaal@gmail.com.
Abstract:
Internal rectal prolapse can lead to obstructed defecation, faecal incontinence and pain. In treatment of frail or technically difficult patients, a perineal approach is often used, such as a Delorme's or a STARR. However, in case of very high take-off prolapse, these procedures are challenging if not unsuitable. We present trans-anal endoscopic microsurgery as surgical option for management of this uncommon type of rectal prolapse in specific cases.
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