Rectal prolapse

Abstract

This review encompasses rectal prolapse, including aetiology, symptoms and treatment. The English-language literature about rectal prolapse was identified using Medline, and additional cited works not detected in the initial search were obtained. Articles reporting on prospective and retrospective comparisons and case reports were included.

Laparoscopic Suture Rectopexy: An Effective Treatment for Complete Rectal Prolapse

“…In the same review, laparoscopic posterior mesh rectopexy, using both nonabsorbable and absorbable meshes showed a better result in terms of improvement in continence after surgery, though it was still less than after laparoscopic suture rectopexy. The slight edge, though not significant, in improvement in continence after laparoscopic suture rectopexy when compared to laparoscopic mesh rectopexy can be explained by the fact that a mesh does interfere in rectal distensibility as compared to sutures only [20]. Post operative anal manometery studies done in our series corroborated with the clinical improvement in continence, in that both RAP and MSP showed significant improvement.…”

Laparoscopic management of persistent complete rectal prolapse in children

“…Complete rectal prolapse is the result of a complete circumferential intussusception starting 6 to 8 cm from the anal verge and continuing through the anal canal, everting onto the perineum. Support for this theory is found in articles that note that patients with rectal prolapse have lower basal and squeeze pressures on anorectal manometry than normal control subjects [5,6]. Surgery is indicated in rare cases with intractable rectal prolapse and may be considered in patients who are not spontaneously cured in 12 to 18 months of follow-up.…”

Outcome analysis of elderly patients undergoing laparoscopic resection rectopexy for rectal prolapse

“…This remained after further subdividing into groups A and B. The coexistence of incontinence and constipation is very common both in patients with incomplete and complete rectal prolapse [9,13,28]. Our subsequent analysis for an improvement of symptoms stratified by age group and prolapse degree showed an equally positive outcome, the data of which are presented in Tables 4 and 5 (data not shown).…”