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Related Experiment Video

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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Perineal Approaches to Rectal Prolapse.

Louis R Barfield1

  • 1Baton Rouge Colon and Rectal Associates, Our Lady of the Lake Physicians Group, Baton Rouge, Louisiana; Department of Surgery, LSUHSC, New Orleans, Louisiana.

Clinics in Colon and Rectal Surgery
|February 2, 2017
PubMed
Summary

Surgical repair for full-thickness rectal prolapse is debated. This review details perineal approaches, discussing their risks, benefits, and current role in treating this condition.

Keywords:
AltemeierDelormeThierschrectal prolapserectosigmoidectomy

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Full-thickness rectal prolapse is a condition causing significant pain and disability.
  • Surgical intervention is the primary treatment for rectal prolapse.
  • The optimal surgical approach remains a subject of ongoing discussion within the medical community.

Purpose of the Study:

  • To review the risks and benefits associated with perineal approaches for rectal prolapse surgery.
  • To describe the perineal surgical techniques used for treating full-thickness rectal prolapse.
  • To evaluate the current role of perineal approaches in the management of rectal prolapse.

Main Methods:

  • Literature review of studies comparing surgical outcomes for rectal prolapse.
  • Analysis of historical and recent data on perineal surgical approaches.
  • Synthesis of information regarding risks, benefits, and indications for perineal repair.

Main Results:

  • Perineal approaches, historically considered inferior, are still widely performed.
  • Recent data suggest perineal approaches may have a more significant role than previously thought.
  • Understanding the specific risks and benefits is crucial for patient selection.

Conclusions:

  • Perineal approaches remain a viable option for surgical repair of full-thickness rectal prolapse.
  • The decision to use a perineal approach should be based on a thorough understanding of its risks and benefits.
  • Further research may clarify the comparative effectiveness of different surgical methods for rectal prolapse.