4,428 results match your criteria Rectal Prolapse


Recurrence after Delorme's procedure in a single and multi-surgeon setting.

S Afr J Surg 2020 Jun;5(2):78-85

Department of Surgery, Groote Schuur Hospital, University of Cape Town, South Africa.

Background: Delorme's procedure (DP) is a perineal repair reserved for full-thickness rectal prolapse (FTRP) in elderly/comorbid patients due to its low perioperative morbidity. Reported recurrence rates are higher than for abdominal approaches. This study reports the long-term clinical outcomes of recurrence and postoperative bowel function after DP. Read More

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Altemeier Procedure for Complete Rectal Prolapse - A video-vignette.

Colorectal Dis 2020 Jul 9. Epub 2020 Jul 9.

Department of Colorectal Surgery, S. Rita Clinic, Vercelli, Italy.

Complete (or external) rectal prolapse (CRP) is the circumferential, full-thickness intussusception of the rectal wall and has an estimated incidence of 2.5 per 100.000 inhabitants [1, 2]. Read More

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http://dx.doi.org/10.1111/codi.15250DOI Listing

Colorectal Surgery Review for Primary Care Providers.

Mo Med 2020 May-Jun;117(3):254-257

MSMA member since 1996, Department of Colon and Rectal Surgery, Ferrell-Duncan Clinic, CoxHealth, Springfield, Missouri.

Colon and rectal disorders can be functional and inflammatory. This is the second paper of a three-part series14 and will focus on the diagnosis and treatment of rectal prolapse, fecal incontinence and inflammatory bowel disease. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302045PMC

Long-term Anatomical and Functional Results of Robot-Assisted Pelvic Floor Surgery for the Management of Multicompartment Prolapse: A Prospective Study.

Dis Colon Rectum 2020 Jun 24. Epub 2020 Jun 24.

Meander Medical Center, Department of Gynecology, Amersfoort, The Netherlands.

Background: Long-term data on robot-assisted sacrocolporectopexy for the treatment of multicompartment pelvic organ prolapse is scarce. With the rising prevalence of prolapse and increasing surgical repair, it is essential to evaluate long-term results.

Objective: To evaluate long-term functional and anatomic outcomes after sacrocolporectopexy. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001696DOI Listing

Minimal dissection of posterior wall of rectum reduces rectal prolapse in laparoscopic assisted anorectal pull-through.

J Pediatr Surg 2020 May 28. Epub 2020 May 28.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address:

Purpose: To determine if minimal dissection of the posterior wall of rectum can reduce rectal prolapse after laparoscopic assisted anorectal pull-through (LAARP) in male anorectal malformation (ARM) with rectourethral fistula.

Methods: Eighty-six male patients with ARM who underwent LAARP in our center between 2007 and 2018 were retrospectively analyzed. There were 45 cases of prostatic urethral fistula, 24 bulbar urethral fistulas, and 15 bladder neck fistulas. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.05.026DOI Listing

Transanal rectal mucosectomy and muscular plication: A new technique for rectal prolapse in patients with an anorectal malformation.

J Pediatr Surg 2020 May 29. Epub 2020 May 29.

Centro Colorrectal para Niños de México y Latinoamérica, Hospital Ángeles Puebla, Mexico.

Background: Rectal prolapse after repair of an anorectal malformation (ARM) occurs at a frequency of 3.8% to 60.0%. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.05.025DOI Listing

What happens to the biologic prosthesis implanted during laparoscopic ventral mesh rectopexy?

Colorectal Dis 2020 Jun 25. Epub 2020 Jun 25.

Unit of General and Minimally-invasive Surgery, San Camillo Hospital, Trento, Italy.

Laparoscopic ventral mesh rectopexy (LVMR), as described by D'Hoore et al in 2004, is an effective procedure to correct internal and external rectal prolapse. Read More

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http://dx.doi.org/10.1111/codi.15221DOI Listing

Laparoscopic vaginal suspension and rectopexy for rectal prolapse.

Colorectal Dis 2020 Jun 24. Epub 2020 Jun 24.

İzmir Katip Çelebi University Atatürk Training and Research Hospital, Department of General Surgery, İzmir, Turkey.

Laparoscopic procedures for the treatment of rectal prolapse (RP) have gained increasing worldwide acceptance with their lower recurrence rates and better functional outcomes than perineal procedures. Nevertheless, the ideal surgical technique is still controversial. Laparoscopic ventral rectopexy is a successful nerve-sparing technique for the treatment of RP. Read More

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http://dx.doi.org/10.1111/codi.15209DOI Listing

Surgical approach, complications, and reoperation rates of combined rectal and pelvic organ prolapse surgery.

Int Urogynecol J 2020 Jun 23. Epub 2020 Jun 23.

Department of Surgery, Division of Colorectal Surgery, Stanford University School of Medicine, Palo Alto, CA, USA.

Objectives: Our primary objective was to determine rectal prolapse (RP) and pelvic organ prolapse (POP) reoperation rates and postoperative < 30-day complications after combined RP and POP surgery at a single institution.

Methods: This was an IRB-approved retrospective cohort study of all female patients who received combined RP and POP surgery at a single tertiary care center from 2008 to 2019. Recurrence was defined as the need for subsequent repeat RP or POP surgery at any point after the index surgery. Read More

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http://dx.doi.org/10.1007/s00192-020-04394-2DOI Listing

Altemeier procedure for rectal prolapse after intersphincteric low anterior resection with transanal total mesorrectal excision.

Cir Esp 2020 Jun 18. Epub 2020 Jun 18.

Cirugía General y Digestiva, Unidad de Cirugía Colorrectal, Servicio de Cirugía General y del Aparato Digestivo, Universidad de Girona, Instituto de Investigación Biomédica de Girona (IdIBGi), Girona, España.

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http://dx.doi.org/10.1016/j.ciresp.2020.05.017DOI Listing

Cap-assisted endoscopic sclerotherapy for internal hemorrhoids: technique protocol and study design for a multi-center randomized controlled trial.

Ther Adv Gastrointest Endosc 2020 Jan-Dec;13:2631774520925636. Epub 2020 Jun 5.

Professor, Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan, Nanjing 210011, China.

Background: Cap-assisted endoscopic sclerotherapy is a new interventional therapy for internal hemorrhoids and rectal prolapse under colonoscopy. The proper length of the endoscopic injection needle is the core for performing cap-assisted endoscopic sclerotherapy well with more benefits and less complications. However, no data are currently available to guide endoscopists to consider the length of injection needle before cap-assisted endoscopic sclerotherapy. Read More

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http://dx.doi.org/10.1177/2631774520925636DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278306PMC

Short term outcome of laparoscopic ventral mesh rectopexy for rectal and complex pelvic organ prolapse: case series.

Turk J Surg 2019 Jun 13;35(2):91-97. Epub 2019 Jun 13.

Zonguldak Bülent Ecevit Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Zonguldak, Türkiye.

Objectives: Laparoscopic ventral mesh rectopexy (LVMR) is a technique gaining more recognition for the management of pelvic floor disorders, such as external rectal prolapse (ERP), high grade internal rectal prolapse (IRP) and rectocele. LVMR also allows correction of coexisted pelvic organ prolapse. This study aimed to evaluate the safety, efficacy and functional outcome of LVMR for rectal and complex pelvic organ prolapse. Read More

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http://dx.doi.org/10.5578/turkjsurg.4157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796075PMC

Classic bladder exstrophy and complete rectal prolapse in a 10 year-old child with no previous surgical intervention: what to achieve?

J Surg Case Rep 2020 Jun 10;2020(6):rjaa093. Epub 2020 Jun 10.

Pediatric Surgery Department, Tishreen University Hospital, Lattakia, Syria.

The management of bladder exstrophy (BE) remains one of the most significant challenges encountered by pediatric urologists despite improvements in the operative techniques worldwide. Regardless of surgical technique, timing of primary closure remains a matter of debate. The initial closure may be performed within the first 48-72 hours of life or at ~6-12 weeks of age. Read More

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http://dx.doi.org/10.1093/jscr/rjaa093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286382PMC

Restored pelvic anatomy is preserved after laparoscopic and robot-assisted ventral rectopexy: MRI-based 5-year follow-up of a randomised controlled trial.

Colorectal Dis 2020 Jun 16. Epub 2020 Jun 16.

Department of Surgery, Division of Gastroenterology, Oulu University Hospital, Oulu, Finland.

Aim: We compared the long-term anatomical outcomes between robot-assisted (RVMR) and laparoscopic ventral mesh rectopexy (LVMR) for external or internal rectal prolapse.

Method: This study is a follow-up of a single centre randomised controlled trial (RCT). Thirty patients were randomly allocated to RVMR (n=16) and LVMR (n = 14). Read More

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http://dx.doi.org/10.1111/codi.15195DOI Listing

Prolapsed giant rectal gastrointestinal stromal tumor presented with incarceration A rare case of emergency rectal lesion.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Prolapse of the tumor is an extremely rare clinical presentation in patients with rectal gastrointestinal stromal tumor (GIST). A 79-year-old male patient was consulted in the in-patient ward of internal medicine clinic of our hospital due to his incarcerated hemorrhagic mass protruding from the anal canal. Anal inspection revealed an incarcerated prolapsed hemorrhagic mass larger than 10 cm in diameter that looked like a cauliflower. Read More

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Rectal duplication in an adult cat: a novel transanal surgical approach.

JFMS Open Rep 2020 Jan-Jun;6(1):2055116920916956. Epub 2020 May 27.

Atlantia Veterinary Hospital Centre, Nantes, France.

Case Summary: A 3-year and 8-month-old male entire European domestic shorthair cat was presented with a history of recurrent rectal prolapse, straining and pain when defaecating. Previous non-surgical and surgical treatments had not provided a satisfactory result. Rectal prolapse had recurred within 2 weeks of treatment. Read More

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http://dx.doi.org/10.1177/2055116920916956DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263134PMC

Modified Stapled Transanal Rectal Resection Procedure for Limited Rectal Prolapse: A Viable Alternative to the Delorme Operation.

Surg Innov 2020 Jun 8:1553350620929470. Epub 2020 Jun 8.

Department of Coloproctology, 373651 The Sixth Affiliated Hospital of Sun Yat-sen University (Gastrointestinal & Anal Hospital of Sun Yat-sen University) , People's Republic of China.

. The optimal surgical approach for full-thickness rectal prolapse (FTRP) remains controversial. In China, patients with limited FTRP (<5 cm in length) are usually managed by perineal surgery. Read More

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http://dx.doi.org/10.1177/1553350620929470DOI Listing

A stepwise approach to Delorme's procedure for rectal prolapse - a video vignette.

Colorectal Dis 2020 May 29. Epub 2020 May 29.

Department of Colorectal Surgery, Christian Medical College, Vellore, India.

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http://dx.doi.org/10.1111/codi.15160DOI Listing

A 10-year retrospective cohort study to assess objective and subjective outcomes of combined stapled transanal rectal resection and urogynecological surgery for pelvic floor dysfunction.

Arch Gynecol Obstet 2020 Aug 26;302(2):393-404. Epub 2020 May 26.

Department of Obstetrics, Gynecology and Urogynecology, Santa Maria Dei Battuti Hospital, Conegliano, Treviso, Italy.

Purpose: To assess the subjective and objective outcomes of combined stapled transanal rectal resection (STARR) and urogynecological surgery to treat pelvic organ prolapse, with a 10-year follow-up.

Methods: This was a retrospective cohort study analyzing prospectively collected data from 53 consecutive patients who underwent combined stapled transanal rectal resection and urogynecological surgery, from 1 January 2005 to 31 December 2007 at a tertiary referral Pelvic Floor Unit of an Italian hospital.

Results: Fifty-three patients with a median age of 60 years (interquartile range (IQR) 67-52t), underwent STARR and concomitant urogynecological surgery. Read More

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http://dx.doi.org/10.1007/s00404-020-05605-3DOI Listing

Strangled rectal prolapse in young adults: A case report.

Ann Med Surg (Lond) 2020 Jul 11;55:33-35. Epub 2020 May 11.

Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia.

Background: Rectal prolapse (RP) is an uncommon perineal disease. It is defined as a complete protrusion or intussusception of the rectum through the anus. Strangulation of the RP is rare. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.04.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235615PMC

Gastrointestinal polyps and polyposis in children: experience of endoscopic and surgical outcomes.

Dig Dis 2020 May 25. Epub 2020 May 25.

Introduction: There are gaps in literature regarding outcome of multiple polyps and dilemmas in the management issues in polyposis syndromes in children.

Objective: We aimed to study the clinical behaviour of gastrointestinal (GI) polyps with emphasis on therapeutic outcomes of polyposis syndrome.

Methods: Proven cases of GI polyp(s) on endoscopy were classified as, single polyp, multiple polyps and polyposis syndrome. Read More

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http://dx.doi.org/10.1159/000508866DOI Listing

Trends in the Diagnosis and Management of Combined Rectal and Vaginal Pelvic Organ Prolapse.

Urology 2020 May 19. Epub 2020 May 19.

Department of Urology, Stanford University Medical Center, Stanford, CA.

Objective: To examine the rates of surgical repair of comorbid rectal prolapse (RP) and pelvic organ prolapse (POP) over time in a large population-based cohort.

Materials And Methods: We queried Optum, a national administrative claims database, from 2003 to 2017. We evaluated female patients age 18 or older with a diagnosis of POP and/or RP. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.010DOI Listing

Laparoscopic Pelvic Organ Prolapse Suspension (Pops) Versus Laparoscopic Ventral Mesh Rectopexy for Treatment of Rectal Prolapse: Prospective Cohort Study.

World J Surg 2020 May 18. Epub 2020 May 18.

Faculty of Medicine, Cairo University, Giza, Egypt.

Background: This study aimed to compare ventral mesh rectopexy (VMR) and pelvic organ prolapse suspension surgery (POPS) in management of patients presenting with rectal prolapse.

Methods: Our study was a prospective cohort trial in which 120 female patients with complete rectal prolapse were included, 60 patients had had VMR and the other 60 had had POPS as a surgical management for complete rectal prolapse. Results had been compared 6 months postoperatively regarding operative time, postoperative pain, hospital stay, complications of surgery including recurrence of the rectal prolapse, the efficacy of each operation in treatment of rectal prolapse and associated symptoms. Read More

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http://dx.doi.org/10.1007/s00268-020-05585-0DOI Listing

Polyvinylidene Fluoride Mesh Use in Laparoscopic Ventral Mesh Rectopexy in Patients with Obstructive Defecation Syndrome for the First Time.

J Invest Surg 2020 May 18:1-6. Epub 2020 May 18.

Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences (IUMS), Tehran, Iran.

Obstructive defecation syndrome (ODS) affects quality of life of patients to a great extent by disturbing defecation. Laparoscopic ventral mesh rectopexy (LVMR) has gained much attention in the recent years. Common synthetic used meshes have a risk of erosion for adjacent pelvic organs leading to some complications. Read More

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http://dx.doi.org/10.1080/08941939.2020.1767734DOI Listing

Strangle rectal prolapse: Emergency perineal rectosigmoidectomy.

Cir Esp 2020 May 13. Epub 2020 May 13.

Servicio de Cirugia General y Aparato Digestivo, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.

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http://dx.doi.org/10.1016/j.ciresp.2020.03.015DOI Listing

The Role of MRI in the Diagnosis of Pelvic Floor Disorders.

Curr Urol Rep 2020 May 15;21(7):26. Epub 2020 May 15.

National Center for Advanced Pelvic Surgery, MedStar Washington Hospital Center/ MedStar Georgetown University, Washington, DC, USA.

Purpose Of Review: This article provides an overview of MRI as a dynamic imaging modality as well as recent updates on the role of MRI in the evaluation of female pelvic floor disorders, including pelvic organ prolapse (POP), rectal prolapse, and defecatory dysfunction.

Recent Findings: Pelvic floor disorders in women are common, and demand for treatment is high. Recently, multidisciplinary guidelines for dynamic MRI have been published to reflect this need. Read More

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http://dx.doi.org/10.1007/s11934-020-00981-4DOI Listing

Mucopexy-Recto Anal Lifting (MuRAL) in managing obstructed defecation syndrome associated with prolapsed hemorrhoids and rectocele: preliminary results.

Ann Surg Treat Res 2020 May 28;98(5):277-282. Epub 2020 Apr 28.

Day/Week Surgery Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Purpose: Treatment of rectocele associated with prolapsed hemorrhoids is a debated topic. Transanal stapling achieved good midterm results in patients with symptoms of obstructed defecation, nevertheless a number of severe complications have been reported. The aim of this study was to evaluate the safety and efficacy of a new endorectal manual technique in patients with obstructed defecation due to the combination of muco-hemorrhoidal prolapse and rectocele. Read More

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http://dx.doi.org/10.4174/astr.2020.98.5.277DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200604PMC

Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study.

Minim Invasive Surg 2020 22;2020:3057528. Epub 2020 Jan 22.

Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt.

Purpose: To compare laparoscopic mesh rectopexy with laparoscopic suture rectopexy. . The prospective study was conducted at Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt between Feb 2010 and Jan 2015. Read More

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http://dx.doi.org/10.1155/2020/3057528DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204089PMC
January 2020

Epidemiological trends in surgery for rectal prolapse in England 2001-2012: an adult hospital population-based study.

Colorectal Dis 2020 Apr 29. Epub 2020 Apr 29.

Blizard Institute, Barts and London SMD, Queen Mary University of London, London, UK.

Aim: To analyse trends in admission and surgery for rectal prolapse in adults in England between 2001 and 2012 as well as prolapse reoperation rates.

Method: Analysis of data derived from a comparative longitudinal population-based cohort study using Hospital Episode Statistics (HES).

Results: During the study period, a total of 25 238 adults, of median age 73 [interquartile range (IQR: 58-83] years, underwent a total of 29 379 operations for rectal prolapse (mean: 2662 per annum). Read More

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http://dx.doi.org/10.1111/codi.15094DOI Listing

Evacuatory Dysfunction after Stapled Hemorrhoidopexy: A Case Report of Rectal Pocket Syndrome.

J Anus Rectum Colon 2020 28;4(2):85-88. Epub 2020 Apr 28.

Department of Pathology, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.

A 60 year-old male was referred to the authors' hospital with a persistent urge to defecate. The patient had undergone stapled hemorrhoidopexy (SH) for the treatment of prolapsed hemorrhoids approximately 10 years earlier. He started to have difficulty with defecation and a false sense of urgency shortly after the surgery. Read More

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http://dx.doi.org/10.23922/jarc.2019-024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186010PMC

Evaluation of Mucopexy-Recto Anal Lifting (MuRAL): A New Method for Treating Hemorrhoids.

J Anus Rectum Colon 2020 28;4(2):51-58. Epub 2020 Apr 28.

Coloproctology Centre, Matsushima Hospital, Yokohama, Japan.

Objectives: Ligation and excision remain the commonly recognized standard surgical modality for treating hemorrhoids. Further, impediments to surgical treatment owing to social factors and the need for minimally invasive procedures and other confounders have resulted in the adoption of the mucopexy-recto anal lifting (MuRAL) method which is associated with favorable outcomes. The objective of this study was to describe the procedure and report the outcomes in patients who underwent MuRAL. Read More

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http://dx.doi.org/10.23922/jarc.2019-017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186007PMC

Elective versus emergency full-thickness rectal prolapse treatment using a perineal approach - a video vignette.

Colorectal Dis 2020 Apr 26. Epub 2020 Apr 26.

Department of Emergency and Organ Transplantation, University 'Aldo Moro' of Bari, Bari, Italy.

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http://dx.doi.org/10.1111/codi.15092DOI Listing

Modified perineal linear stapler resection for external rectal prolapse.

Ann Med Surg (Lond) 2020 Jun 13;54:22-25. Epub 2020 Apr 13.

Department of Surgery, Faculty of Medicine, Zagazig University, Egypt.

Background: rectal prolapse can cause bleeding and fecal incontinence that affects the life quality of patients. The treatment of external rectal prolapse is surgical. There are many procedures (abdominal or perineal) that can be used depending on the severity of the condition and patient tolerability for operation. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.03.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167506PMC

Same-Day Discharge and Quality of Life for Primary Laparoscopic Rectopexy for Rectal Prolapse in Children: A 10-Year Experience.

J Laparoendosc Adv Surg Tech A 2020 Jun 21;30(6):679-684. Epub 2020 Apr 21.

Department of Pediatric Surgery, Children's Mercy-Kansas City, Kansas City, Missouri, USA.

Rectal prolapse (RP) in pediatric patients may require surgical intervention. Varying surgical approaches and heterogenous patient populations have resulted in difficulty defining surgical outcomes and superiority of technique. We sought to review our surgical and self-reported outcomes of patients who underwent laparoscopic rectopexy for idiopathic RP. Read More

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http://dx.doi.org/10.1089/lap.2020.0050DOI Listing
June 2020
1.187 Impact Factor

Fundamentals of Anorectal Technical Skills: A Concise Surgical Skills Course.

Mil Med 2020 Apr 21. Epub 2020 Apr 21.

Division of General Surgery, Department of Surgery, Uniformed Services University of the Health Sciences (USUHS)/Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889.

Introduction: Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures using the theories of deliberative practice and perceptual and adaptive learning.

Materials And Methods: First- through third-year general surgery and internal medicine residents and third- and fourth-year medical students participated in a course consisting of didactic instruction and hands on skills stations. Read More

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http://dx.doi.org/10.1093/milmed/usaa070DOI Listing

Laparoscopic sacrocolpopexy plus ventral rectopexy as combined treatment for multicompartment pelvic organ prolapse.

Tech Coloproctol 2020 06 13;24(6):573-584. Epub 2020 Apr 13.

UOSA di Proctologia, Dipartimento di chirurgia generale, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Pelvic organ prolapse (POP) is a dynamic disorder that affects the entire pelvic diaphragm. POP may often involve multiple organs. Abdominal sacrocolpopexy is considered the gold standard to treat female anterior and apical prolapse. Read More

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http://dx.doi.org/10.1007/s10151-020-02199-5DOI Listing

EBV-associated mucocutaneous ulcer, a rare cause of a frequent problem.

J Surg Case Rep 2020 Apr 7;2020(4):rjaa057. Epub 2020 Apr 7.

Clarunis, University Center for Gastrointestinal and Liver Disease, St. Clara Hospital and University Hospital Basel, Spitalstrasse 21, CH-4031 Basel, Switzerland.

This report presents a 74-year-old renal transplant patient suffering of polymorphic-post-transplant-associated lymphoproliferative disease (P-PTLD) within an Eppstein-Barr Virus (EBV) associated mucocutaneous rectal ulcer (MCU). He was initially treated by stapled hemorrhoidopexy for a symptomatic grade III hemorrhoidal prolapse refractory to conservative treatment and rubber band ligations. This leads to severe urge, frequency and stool fragmentation. Read More

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http://dx.doi.org/10.1093/jscr/rjaa057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136716PMC

Arteriovenous malformation that caused prolapse of the colon and was treated surgically in an infant: a case report.

Surg Case Rep 2020 Apr 8;6(1):67. Epub 2020 Apr 8.

Department of Pediatric Surgery, Kanazawa Medical University, Ishikawa, Japan.

Background: Various terms have been used to describe vascular lesions in the intestine, including angiodysplasia, arteriovenous malformation, and telangiectasia. Such lesions are common in adults and are typified by angiodysplasia, a type of arteriovenous malformation. In contrast, these lesions are rarely seen in the pediatric population. Read More

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http://dx.doi.org/10.1186/s40792-020-00824-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142189PMC

Hemorrhoidal Laser procedure (HeLP) and Hemorrrrhoidal Laser procedure + mucopexy (HeLPexx) and other Emerging Technologies.

Authors:
Paolo Giamundo

Rev Recent Clin Trials 2020 Apr 6. Epub 2020 Apr 6.

Department of Colorectal Surgery, Policlinico di Monza, Via C. Amati 111, Monza. Italy.

Background: Minimally-invasive treatments for hemorrhoids should be encouraged as they cause low morbidity, reasonable discomfort and quicker return to work. According to the "vascular theory" hemorrhoidal disease is mainly caused by blood overflow into hemorrhoidal plexus deriving from the superior hemorrhoidal arteries.

Introduction: Many different procedures have been described in the literature with the common goal of reducing the blood flow into the hemorrhoidal piles. Read More

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http://dx.doi.org/10.2174/1574887115666200406120245DOI Listing

Pelvic floor imaging with MR defecography: correlation with gynecologic pelvic organ prolapse quantification.

Abdom Radiol (NY) 2020 Mar 24. Epub 2020 Mar 24.

Department of Diagnostic Radiology, University of Arkansas for Medical Sciences, 4301 W Markham Street, Slot #556, Little Rock, AR, 72205-7199, USA.

Purpose: Pelvic organ prolapse (POP) is assessed differently by gynecologists and radiologists. It is clinically staged by physical examination using the POP-Q (Pelvic Organ Prolapse Quantification) system and radiologically staged by modalities such as by Magnetic Resonance Defecography (MRD). The purpose of this study was to correlate the two methods of staging pelvic organ prolapse for each pelvic compartment by comparing correlative anatomic points and differences in technique. Read More

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http://dx.doi.org/10.1007/s00261-020-02476-9DOI Listing

Treatment of haemorrhoidal disease with micronized purified flavonoid fraction and sucralfate ointment.

Acta Biomed 2020 03 19;91(1):139-141. Epub 2020 Mar 19.

Casa di Cura Siligato, Civitavecchia.

Hemorrhoidal disease is a very common disease characterized by the presence of a mucous prolapse of the rectum and by varicosis of the hemorrhoidal plexus. Medical therapy is mainly indicated for the treatment of symptoms such as bleeding, pain and itching. The use of the micronized purified flavonoid fraction (MPFF) has proven to be effective in treating symptoms of hemorrhoidal disease. Read More

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http://dx.doi.org/10.23750/abm.v91i1.9361DOI Listing

Robotic sutured rectopexy for external full-thickness rectal prolapse - a video vignette.

Colorectal Dis 2020 Mar 18. Epub 2020 Mar 18.

Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.

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http://dx.doi.org/10.1111/codi.15038DOI Listing

How to do a rectal prolapse reduction using intraluminal packing.

ANZ J Surg 2020 05 18;90(5):879-880. Epub 2020 Mar 18.

Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

How to perform a rectal prolapse reduction using intraluminal packing. Read More

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http://dx.doi.org/10.1111/ans.15793DOI Listing

Posterior pelvic tilt is a risk factor for rectal prolapse: a propensity score matching analysis.

Tech Coloproctol 2020 05 13;24(5):463-469. Epub 2020 Mar 13.

General Surgery and Organ Transplantation Department, Sapienza University of Rome, Rome, Italy.

Background: There is little evidence about possible effects of pelvic anatomical characteristics on proctological complications. The aim of our study was to investigate the potential correlation between sagittal pelvic position and rectal prolapse.

Methods: A study was conducted on a proctology patients and patients without any specific history of proctological disorders who were divided into two groups according to the presence or the absence of rectal prolapse. Read More

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http://dx.doi.org/10.1007/s10151-020-02179-9DOI Listing

Gut Microbiota Contributes to Spontaneous Colitis in E3 Ligase Itch-Deficient Mice.

J Immunol 2020 Apr 13;204(8):2277-2284. Epub 2020 Mar 13.

Division of Digestive and Liver Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390;

Inflammatory bowel diseases are associated with complex shifts in microbiota composition. However, it remains unclear whether specific subsets of commensal bacteria induce inflammatory bowel diseases in genetically susceptible hosts. In this study, we found that deficiency of the E3 ligase Itch, which leads to spontaneous colitis and rectal prolapse, is associated with alteration of the gut microbiota. Read More

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http://dx.doi.org/10.4049/jimmunol.1701478DOI Listing

Stapled Surgery for Hemorrhoidal Prolapse: From the Beginning to the Modern Times.

Rev Recent Clin Trials 2020 03 10. Epub 2020 Mar 10.

Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Department of General Surgery, Via Paradisa 1, 0039 050 7814. Italy.

Introduction: Hemorrhoidal disease is the most common proctologic condition in adults. Among the different surgical procedures, one of the greatest innovations is represented by the stapled hemorrhoidopexy. The history of this technique started with a single stapler use passing thorough a double stapler technique to resect the adequate amount of prolapse, finally arriving to the use of high volume devices. Read More

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http://dx.doi.org/10.2174/1574887115666200310164519DOI Listing

Paracolostomy Evisceration: Short Review and a New Case Report.

Chirurgia (Bucur) 2020 Jan-Feb;115(1):95-101

Diverting ostomy is a commonly perfomed procedure but may be associated to its own morbidity (early or late complications). Colostomy-related evisceration is a rare but potentially life threatening condition (requiring emergency surgery), relatively undocumented for its mechanisms. Case report: A male aged 84 was admited for chronic low digestive occlusion due to a locally advanced, stenosing, rectal adenocarcinoma. Read More

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http://dx.doi.org/10.21614/chirurgia.115.1.95DOI Listing

Evisceration of Small Bowel Through Rectum: A Case Report.

Maedica (Buchar) 2019 Dec;14(4):428-430

Scarborough General Hospital York Teaching Hospitals NHS Foundation Trust, UK.

Evisceration of small bowel through the rectum is extremely uncommon, chronic long standing prolapse and/or increased intra-abdominal pressure being the most frequent association. Management is in line of any acute abdomen with resuscitation beginning as soon as patient arrives with covering the bowel with moist hot packs. The management of such patients depends on the general state of each individual patient. Read More

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http://dx.doi.org/10.26574/maedica.2019.14.4.428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035441PMC
December 2019