A Viable Option for Frail Patients? Natural Orifice Transluminal Endoscopic Surgery Rectopexy for Rectal Prolapse Using Transanal Fixation

Sylla, Patricia

doi:10.1097/dcr.0000000000002657

Cited by 1 publication

(1 citation statement)

References 10 publications

(26 reference statements)

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“…In this procedure, the colon is fixed to the abdomen and promontory using custom endoscopic devices without mesh. Although this method is unlikely to offer the same level of long-term durability as other approaches, it may be an effective choice for patients with frailty, particularly when mesh avoidance is preferred[ 61 ].…”

Section: Treatment Optionsmentioning

confidence: 99%

Current diagnostic tools and treatment modalities for rectal prolapse

Oruç¹,

Erol²

2023

World J Clin Cases

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Rectal prolapse is a circumferential, full-thickness protrusion of the rectum through the anus. It is a rare condition, and only affects 0.5% of the general population. Multiple treatment modalities have been described, which have changed significantly over time. Particularly in the last decade, laparoscopic and robotic surgical approaches with different mobilization techniques, combined with medical therapies, have been widely implemented. Because patients have presented with a wide range of complaints (ranging from abdominal discomfort to incomplete bowel evacuation, mucus discharge, constipation, diarrhea, and fecal incontinence), understanding the extent of complaints and ruling out differential diagnoses are essential for choosing a tailored surgical procedure. It is crucial to assess these additional symptoms and their severities using preoperative scoring systems. Additionally, radiological and physiological evaluations may explain some vague symptoms and reveal concomitant pelvic disorders. However, there is no consensus on or standardization of the optimal extent of dissection, type of procedure, and materials used for rectal fixation; this makes providing maximum benefits to patients with minimal complications difficult. Even recent publications and systematic reviews have not recommended the most appropriate treatment options. This review explains the appropriate diagnostic tools for different conditions and summarizes the current treatment approaches based on existing literature and expert opinions.

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Section: Treatment Optionsmentioning

confidence: 99%