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Rectal prolapse; a review of Dutch surgical practice
Summary
Transabdominal rectal fixation is a common treatment for rectal prolapse in The Netherlands. However, postanal repair for postoperative fecal incontinence is rarely performed in teaching hospitals.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Rectal prolapse is a condition with various treatment options.
- Transabdominal fixation is a frequently favored surgical approach for rectal prolapse.
Purpose of the Study:
- To investigate the current practices regarding surgical treatments for rectal prolapse.
- To assess the utilization of postanal repair for fecal incontinence post-rectal prolapse surgery.
Main Methods:
- A questionnaire was distributed to teaching hospitals in The Netherlands.
- The survey focused on surgical techniques employed for rectal prolapse and associated fecal incontinence.
Main Results:
- Transabdominal rectal fixation is the predominant surgical method for rectal prolapse in The Netherlands.
- Postanal repair for postoperative fecal incontinence is infrequently performed, with only seven out of 27 hospitals reporting its use.
Conclusions:
- The study highlights a discrepancy between the favored treatment for rectal prolapse and the management of its common complication, fecal incontinence.
- Further investigation into the reasons for the limited use of postanal repair is warranted.
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