Surgical management of rectal prolapse

Abstract

The application of different modalities in the treatment of rectal prolapse is attributed to the fact that cause, degree of prolapse and symptoms, vary from one patient to another. Successful approach depends on many factors, including the status of a patient's anal sphincter muscle before surgery, whether the prolapse is internal or external and the overall condition of the patient.

Risk factors and clinical characteristics of rectal prolapse in young patients

“…At times, the prolapse may occur spontaneously upon standing or coughing. Other symptoms that may coexist include constipation, incomplete evacuation, rectal bleeding, rectal pain, incontinence, urgency and tenesmus [8]. Similarly, the most common symptom at presentation in our study was a prolapsed rectum in 91% of patients mostly associated with defecatory straining or outlet obstructive symptoms in 77% of patients.…”

Rectal Prolapse due to Adenomatous Polyp: Case Report

“…The complete rectal prolapse is a multifactorial pathology, with a common clinical manifestation that corresponds to the exteriorization of the rectum and part of the sigmoid colon through the anus [1,2]. The different surgical techniques described for its treatment include abdominal and perineal approaches, with the best option depending on the patient because of the many aspects to be considered; according to the latest cochrane evidence.…”

“…The rectal prolapse may often be confused with haemorrhoidal prolapse, but invagination of rectal wall caused by tumours rarely appears through the anus [1][2][3][4]. A polyp is an elevation of the intestinal wall formed by any tissue whether mucosal, sub mucosal or of an even deeper origin; it can be neoplastic, reagent or congenital [5].…”

Changing trends in rectal prolapse management in a tertiary care hospital

“…1 Laparoscopic procedures are gaining popularity in most centres in Nepal. 3 But it has been challenged by perineal procedures with excellent results. Hence, search for a less invasive and effective technique is still on.…”