External prolapse of the rectum: stapled prolapse resection, not only for older and frail patients

Langenbach, Marc; Berengolts, Alexandre

doi:10.23736/s0026-4733.17.07345-x

Cited by 1 publication

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“…Stapled resections of rectal mucosa have been mainly used for haemorrhoid treatment. However the scope of stapling [52][53][54][55] moved soon to include small partial thickness rectal prolapse and, finally, reports of application of stapling of external full-thickness rectal prolapse, emerged. More than one stapling devices and stapler sizes have been used in several modifications.…”

Section: Stapled Resection Of Rectal Prolapsementioning

confidence: 99%

External rectal prolapse: Which operation and Why?

Charalampopoulos,

Papagrigoriadis

2023

Open J Clin Med Case Rep

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Background: External rectal prolapse is a rare condition and the only treatment option is surgery. In 10- 50% of patients (women) co-exist other anatomical and functional pelvic floor disorders and eventual should be corrected in the same time, requiring complex rectal and pelvic operations by a multidisciplinary team. Material and methods: A review of the literature based in Google Scholar and PubMed medical database was performed. The predominant surgical procedures in the literature were identified and the associated functional and anatomical pelvic floor disorders coexisting with the external rectal prolapse, the usefulness of preoperative examinations and the final surgical treatment were reviewed. Cross-references of the published articles were used to accomplish this review stud Results: There is a great variety of proposed surgical procedures for external full-thickness rectal prolapse. There is no surgical “gold standard” and the approaches vary. The procedures can be categorized into two main broad groups, abdominal and perineal ones. An important distinguishing factor is the potential use of prosthetic mesh which is popular but also involved in some rare but serious complications. The presence of comorbidities and individual patient characteristics makes the choice of procedure particularly complex. The input of pelvic floor multi-disciplinary team is required when prolapse of middle and anterior pelvic compartments is present. The number and variation of surgical options makes the process of the patient informed consent very important for the restoration of normal quality of life. Conclusions: External rectal prolapse is a condition which requires meticulous assessment and the surgical procedure of choice needs to be individualized according to the patient requirements.

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Section: Stapled Resection Of Rectal Prolapsementioning

confidence: 99%