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[Rectal prolapse]

D Christen1

  • 1Chirurgische Klinik, Stadtspital Waid, Zürich.

Therapeutische Umschau. Revue Therapeutique
|April 1, 1997
PubMed
Summary
This summary is machine-generated.

Rectal prolapse involves the rectal wall moving into or outside the anal canal. Treatment ranges from conservative measures to surgical options like Delorme

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Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Anatomy and Physiology of the Lower Bowel

Context:

  • Rectal prolapse, a condition where the rectal wall protrudes, presents diagnostic and therapeutic challenges.
  • Understanding the etiology, symptoms, and differential diagnosis from anal prolapse is crucial.

Purpose:

  • To outline the diagnostic methods and therapeutic strategies for rectal prolapse.
  • To compare the outcomes of different surgical approaches.

Summary:

  • Rectal prolapse is characterized by rectal wall transposition, differing from anal prolapse in its thickness and mucosal appearance.
  • Symptoms vary from incomplete evacuation to irreducible prolapse; diagnosis is confirmed by defecography.
  • Conservative management includes dietary fiber and fluid intake, while surgical options include transabdominal and perineal procedures.

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Impact:

  • Surgical interventions like Delorme's procedure (perineal) and laparoscopic rectopexy with sigmoid resection (transabdominal) offer effective treatment.
  • Postoperative constipation can occur, particularly with lateral band dissection without sigmoid resection.
  • Pre-existing constipation and incontinence may improve in approximately 50% of patients following surgical treatment.