Management of patients with rectal prolapse: the 2017 Dutch guidelines

Schans, Emma M. van der; Paulides, T; Wijffels, Niels; Consten, Esther C. J.

doi:10.1007/s10151-018-1830-1

Cited by 47 publications

(44 citation statements)

References 56 publications

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“…7 New guidelines also recommend laparoscopic or minimally abdominal approaches for rectal prolapse surgery. [1][2][3] In this issue, a retrospective study of the surgical treatment of rectal prolapse also showed this changing trend of surgical management. 8 Although the number of patients is not enough to make any solid conclusions, among 18 abdominal approaches, laparoscopic approaches comprised 16 operations (88.9%).…”

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confidence: 89%

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Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery

Lee

2019

J Minim Invasive Surg

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With the life span of the general population increased, rectal prolapse in elderly patients became a major concern in terms of the decision of the treatment modalities and quality of life of patients. Most elderly patients with rectal prolapse in the past received a perineal approach with the fear of general anesthetic complications rather than the abdominal approach. However, improvement in perioperative care in anesthesiology and minimally invasive surgery, the trend of surgical management of rectal prolapse is rapidly changing. Minimally invasive surgery including the laparoscopic and robotic surgeries showed comparable short-term outcomes even in elderly patients. Recently published guidelines also recommended a laparoscopic abdominal approach for the management of rectal prolapse.

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confidence: 89%

“…Many published guidelines recommend a perineal approach for unhealthy patients with general anesthesia or abdominal procedures. [1][2][3] On the other hand, with the improvement of perioperative care, the absolute contraindication to general anesthesia is decreased markedly.…”

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confidence: 99%

Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery

Lee

2019

J Minim Invasive Surg

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“…5 The high rate of spontaneous resolution differentiates pediatric rectal prolapse from adult prolapse where resolu-tion is unexpected without intervention. [6][7][8] The difference is especially true in children less than 4 years of age who are otherwise healthy. 2,6,9 Given the high rate of resolution, the number of children who ultimately undergo surgical intervention is low.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Rectal Prolapse in Infants and Children

2020

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The surgical management of children with rectal prolapse is wide ranging and without consensus within the pediatric surgical community. While the majority of rectal prolapse in infants and children resolves spontaneously or with the medical management of constipation, a small but significant subset of patients may require intervention for persistent symptoms. In this review, we discuss the etiology and pathophysiology of rectal prolapse in both infants and children, options for medical management, described interventions and surgical options and their outcomes, and future avenues for research and investigation.

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“…It can be divided into external rectal prolapse and internal rectal prolapse or rectal intussusception. [ 1 ] The incidence of rectal prolapse is not high and is estimated to occur in less than 0.5% of the population. [ 2 ] Rectal prolapse occurs at the extremes of age, [ 3 ] of which the frequency is higher in children, the elderly, and females.…”

Section: Introductionmentioning

confidence: 99%

“…[ 2 ] Rectal prolapse occurs at the extremes of age, [ 3 ] of which the frequency is higher in children, the elderly, and females. The age of incidence for children is generally before 4-year-old, [ 4 ] for the elderly is generally after 50-year-old, the proportion of females is higher than that of men (ratio 9:1), [ 1 ] and the higher incidence occurs with the older age. [ 5 ] The clinical manifestations include pain, bleeding, and fecal incontinence.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of Buzhong Yiqi decoction combined with surgery for rectal prolapse

et al. 2020

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Background: It is extremely easy for rectal prolapse to relapse with surgery alone. Clinical practice indicates that Buzhong Yiqi decoction combined with surgery has certain therapeutic advantages, while there is a lack of evidence-based medicine support. This study aimed to systematically investigate the efficacy and safety of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse. Methods: The English databases (PubMed, Embase, Web of Science, the Cochrane Library) and Chinese databases (China National Knowledge Infrastructure [CNKI], Wanfang, China Science and Technology Journal Database [VIP], China Biology Medicine disc) were searched by computer. In addition, Baidu Scholar and Google Scholar were searched manually. A randomized controlled clinical study of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse was performed from the establishment of databases to September 2020. Two investigators independently conducted data extraction and assessed the literature quality of the included studies. The Revman5.3 software was used for meta-analysis of the included literature. Results: The efficacy and safety of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse were evaluated in terms of efficiency, symptom score, recurrence rate, adverse reaction rate, and so on. Conclusions: Thisstudy provides reliable evidence-based support for the clinical application of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse. OSF Registration number: DOI: 10.17605/OSF.IO/K3PJX.

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Management of patients with rectal prolapse: the 2017 Dutch guidelines

Abstract: These guidelines for clinical practice are useful in the diagnosis and treatment of rectal prolapse. There are many statements requiring a higher level of evidence due to a lack of studies.

Cited by 47 publications

References 56 publications

Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery

Changing Trend of Rectal Prolapse Surgery in the Era of the Minimally Invasive Surgery

Surgical Management of Rectal Prolapse in Infants and Children

Efficacy and safety of Buzhong Yiqi decoction combined with surgery for rectal prolapse

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