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Rectal prolapse. Surgical techniques.

M L Corman1

  • 1Department of Colon and Rectal Surgery, Sansum Medical Clinic, Inc., Santa Barbara, California.

The Surgical Clinics of North America
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

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For rectal prolapse surgery, less experienced surgeons should choose standard rectopexy or anterior resection. These safe procedures offer good results and low risks, unlike complex, specialized techniques.

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Colorectal Surgery

Background:

  • Rectal prolapse treatment options are varied and complex.
  • Many surgical techniques require specialized expertise.
  • Choosing an appropriate procedure is crucial for patient outcomes.

Purpose of the Study:

  • To guide surgeons, particularly those less experienced, in selecting effective rectal prolapse treatments.
  • To compare the safety and efficacy of different surgical approaches.
  • To provide recommendations on materials for specific procedures.

Main Methods:

  • Review of established surgical procedures for rectal prolapse.
  • Comparison of rectopexy, anterior resection, and Thiersch-type approaches.
  • Discussion of material selection for surgical repair.

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Main Results:

  • Rectopexy/suspension without resection is safe with good outcomes and low morbidity/mortality.
  • Anterior resection offers an excellent cure rate and is familiar to most surgeons.
  • Thiersch-type procedures are best for patients unable to undergo laparotomy.

Conclusions:

  • Less experienced surgeons should opt for standard rectopexy or anterior resection.
  • Synthetic materials are recommended over wire for Thiersch-type operations.
  • Further research is needed on specific prosthetics, like Silastic-impregnated Dacron, especially for incontinence.