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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Assessment of the Rectum and Anus01:25

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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
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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Updated: Mar 15, 2026

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Optimizing Treatment for Rectal Prolapse.

Jennifer Hrabe1, Brooke Gurland2

  • 1Department of Colorectal Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, Ohio.

Clinics in Colon and Rectal Surgery
|September 2, 2016
PubMed
Summary
This summary is machine-generated.

Rectal prolapse surgery offers functional improvement and low recurrence rates. Laparoscopic ventral rectopexy is a durable, minimally invasive option, but the best surgical approach requires individualized patient assessment.

Keywords:
Delormeperineal rectosigmoidectomyrectal prolapseresection rectopexyventral rectopexy

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Area of Science:

  • Gastroenterology and Surgery
  • Pelvic Floor Disorders

Background:

  • Rectal prolapse presents with debilitating symptoms impacting function and anatomy.
  • Surgical intervention is the only definitive cure for rectal prolapse.

Purpose of the Study:

  • To review current surgical approaches for rectal prolapse.
  • To highlight emerging techniques and individualized treatment considerations.

Main Methods:

  • Review of current literature on surgical repair of rectal prolapse.
  • Discussion of laparoscopic ventral rectopexy and robotic rectopexy.
  • Emphasis on tailoring surgical strategy to patient-specific factors.

Main Results:

  • Laparoscopic rectopexy with mesh shows promise for durability.
  • Minimally invasive approaches are increasingly accepted, overcoming previous barriers.
  • Laparoscopic ventral rectopexy offers low morbidity and recurrence with functional gains.

Conclusions:

  • Optimal surgical repair for rectal prolapse is not universally defined and requires individualized tailoring.
  • Multidisciplinary approaches are crucial for complex cases, especially with concurrent vaginal prolapse.
  • While surgery improves function and lowers recurrence, functional outcomes are not guaranteed.