4,575 results match your criteria Rectal Prolapse


Long term outcomes of laparoscopic sacro/colpo-hysteropexy with and without rectopexy for the treatment of prolapse.

Int Urogynecol J 2021 Jun 14. Epub 2021 Jun 14.

Department of Functional Pelvic Surgery & Oncology, Geoffroy Saint-Hilaire, Ramsay Santé, Paris, France.

Introduction And Hypothesis: Laparoscopic sacrohysteropexy (LSH), sacrocolpopexy (LSC) and ventral rectopexy (LVR) with mesh are advocated for surgical treatment of pelvic and rectal prolapse. Our study aims at showing the feasibility of concomitant laparoscopic prolapse repair by comparing perioperative and long-term outcomes of LSH or LSC with and without LVR.

Methods: This is a retrospective study carried out on 348 women operated on between July 2009 and July 2019. Read More

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Therapeutic effects of the TST36 stapler on rectocele combined with internal rectal prolapse.

World J Gastrointest Surg 2021 May;13(5):443-451

Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China.

Background: The most common causes of outlet obstructive constipation (OOC) are rectocele and internal rectal prolapse. The surgical methods for OOC are diverse and difficult, and the postoperative complications and recurrence rate are high, which results in both physical and mental pain in patients. With the continuous deepening of the surgeon's concept of minimally invasive surgery and continuous in-depth research on the mechanism of OOC, the treatment concepts and surgical methods are continuously improved. Read More

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A new modified Gant-Miwa-Thiersch combined with submucosal and perirectal sclerosant injection procedure for full-thickness rectal prolapse in elderly women: clinical analysis of 34 cases.

BMC Surg 2021 Jun 5;21(1):284. Epub 2021 Jun 5.

Shanxi Bethune Hospital, Taiyuan, 030012, People's Republic of China.

Background: Full-thickness rectal prolapse (FTRP) frequently occurs in elderly women, and more than 100 surgical procedures have been proposed to restore FTRP. The Gant-Miwa-Thiersch (GMT) procedure is the most used treatment in China. However, the recurrence rate of FTRP post-GMT, which is as high as 23. Read More

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Completeness of exercise reporting among randomized controlled trials on pelvic floor muscle training for women with pelvic organ prolapse: A systematic review.

Neurourol Urodyn 2021 May 31. Epub 2021 May 31.

Division of Gynecology and Physiopathology of Human Reproduction, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Aims: This systematic review aimed to assess the completeness of exercise reporting in randomized controlled trials (RCTs) on pelvic floor muscle training (PFMT) for women with pelvic organ prolapse (POP).

Methods: MEDLINE, Cochrane Central, CINHAL, Embase, SCOPUS, and PEDro databases were searched up to October 2020. Full-text RCTs comparing PFMT to any type of intervention among women with any type and stage of POP were eligible for inclusion. Read More

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A step-by-step approach to endorectal proctopexy (ERPP): how we do it.

Tech Coloproctol 2021 Jul 28;25(7):879-886. Epub 2021 May 28.

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

There are many surgical treatments aimed at correcting internal mucosal prolapse and rectocele associated with obstructed defecation syndrome (ODS). Perineal procedures can be considered as first options in young men in whom an abdominal approach poses risks of sexual dysfunction and in selected women with isolated posterior compartment prolapse who failed conservative treatment. About 20 years ago, we described endorectal proctopexy (ERPP) also known as internal Delorme procedure. Read More

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Laparoscopic posterior rectopexy for complete rectal prolapse: Is it the ideal procedure for males?

J Minim Access Surg 2021 May 11. Epub 2021 May 11.

Department of Surgical Gastroenterology, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India.

Background: Rectal prolapse is more common in elderly women worldwide, but in India, it predominantly occurs in young- and middle-aged males. While ventral mesh rectopexy is proposed as the preferred procedure in females, the debate on the best procedure in men is still wide open.

Methods: A retrospective review of all adult male patients operated for external rectal prolapse (ERP) between January 2005 and December 2019 was performed. Read More

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Successful treatment of aortic valve endocarditis caused by Enterococcus casseliflavus: a case report.

BMC Infect Dis 2021 May 18;21(1):447. Epub 2021 May 18.

Department of Respiratory Medicine, Anjo Kosei Hospital, Anjo-cho Higashi-Hirokute 28, Anjo City, Aichi Prefecture, Japan.

Background: Enterococcus casseliflavus is rarely isolated from human specimens. To the best of our knowledge, there are no reports on its detailed treatment course and prognosis. Here, we present the first known case of E. Read More

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Spontaneous evisceration of small bowel through the rectum in the background of rectal prolapse.

SAGE Open Med Case Rep 2021 27;9:2050313X211011809. Epub 2021 Apr 27.

Department of Surgery, District General Hospital, Kegalle, Sri Lanka.

Small bowel evisceration secondary to rectal prolapse is an uncommon complication with significant morbidity and mortality if left untreated. We report a rare case of the spontaneous evisceration of the small bowel through the rectum in the background of rectal prolapse. A 73-year-old female presented to the emergency treatment unit with sudden worsening of her rectal procidentia (rectal prolapse) and pain for 3 h precipitated by straining at defecation. Read More

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Surgical treatment of total rectal prolapse using Delorme's procedure (with video).

J Visc Surg 2021 Jun 12;158(3):274-275. Epub 2021 May 12.

Service de chirurgie digestive, bariatrique et endocrinienne, groupe hospitalier Avicenne, université Sorbonne Paris Nord, AP-HP, 125, rue de Stalingrad, 93000 Bobigny, France. Electronic address:

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An emergency Altemeier procedure for necrosis of full-thickness rectal prolapse.

Tech Coloproctol 2021 May 11. Epub 2021 May 11.

Department of Digestive and Oncologic Surgery, Edouard Herriot University Hospital, Lyon, France.

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Preliminary Report from the Pelvic Floor Disorders Consortium: Large Scale Data Collection through Quality Improvement Initiatives to Provide Data on Functional Outcomes Following Rectal Prolapse Repair.

Dis Colon Rectum 2021 Apr 26. Epub 2021 Apr 26.

Pelvic Floor Disorders Center, Section of Colon and Rectal Surgery, Massachusetts General Hospital, Boston, MA Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH Department of Surgery, The University of Chicago Medicine, Chicago, IL Department of Surgery, Mount Sinai School of Medicine, New York, NY Pelvic Floor Disorders Center, Section of Colon and Rectal Surgery, Massachusetts General Hospital, Boston, MA Division of Colorectal Surgery, University of Massachusetts-Baystate, Springfield, MA Department of General Surgery, Division of Colorectal Surgery, Stanford University Medical Center, Stanford, CA Pelvic Floor Disorders Center, Section of Colon and Rectal Surgery, Massachusetts General Hospital, Boston, MA.

Background: The surgical management of rectal prolapse is constantly evolving, yet numerous clinical trials and meta-analyses studying operative approaches have failed to make meaningful conclusions.

Objective: To report on preliminary data captured during a large-scale quality improvement initiative to measure and improve function in patients undergoing rectal prolapse repair.

Design: Retrospective analysis of prospectively collected surgical quality improvement data. Read More

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Urinary symptoms in women with faecal incontinence.

Colorectal Dis 2021 May 4. Epub 2021 May 4.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts, USA.

Aim: Faecal incontinence (FI) is estimated to affect 8.9% of women in the United States, with a significant impact on quality of life. Our aim was to compare urinary symptoms in patients with and without FI with different degrees of severity. Read More

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Abdominal pressure and pelvic organ prolapse: is there an association?

Int Urogynecol J 2021 May 4. Epub 2021 May 4.

University of Sydney, Penrith, NSW, Australia.

Introduction And Hypothesis: The primary aim of this study was to assess for an association between maximal intra-abdominal pressure reached on Valsalva (MAP) and pelvic organ prolapse (POP) on subjective, clinical and sonographic evaluation. Another objective was to test for association between MAP and body mass index (BMI).

Methods: A retrospective cross-sectional study was carried out on 504 archived datasets of women seen for pelvic floor dysfunction symptoms between January 2017 to September 2019 at a tertiary urogynaecology clinic. Read More

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Laparoscopic Versus Open Rectopexy for Rectal Prolapse: A Randomized Controlled Trial.

Cureus 2021 Mar 29;13(3):e14175. Epub 2021 Mar 29.

Surgery, S.C.B. Medical College and Hospital, Cuttack, IND.

Introduction Most of the patients with rectal prolapse complain of fecal incontinence followed by constipation. Surgery is the only definitive treatment option for rectal prolapse. There are two approaches: either transanal/perineal or transabdominal. Read More

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Solitary rectal ulcer syndrome in children and adolescents: a descriptive clinicopathologic study.

Int J Clin Exp Pathol 2021 15;14(4):399-407. Epub 2021 Apr 15.

Pediatric Gastroenterology Unit, Department of Pediatrics, Faculty of Medicine, King Abdulaziz University Jeddah, Saudi Arabia.

Solitary rectal ulcer syndrome (SRUS) is an uncommon disorder of the rectum. While benign, it can cause concern for patients and affect quality of life. Reported studies on SRUS worldwide are scarce. Read More

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Refinements in surgical techniques for visualized tunnel formation in laparoscopic-assisted anorectoplasty.

Pediatr Surg Int 2021 Apr 26. Epub 2021 Apr 26.

Department of Pediatric Surgery, Capital Institute of Pediatrics, No.2 Yabao Road, Chaoyang District, Beijing, 100020, People's Republic of China.

Purpose: Laparoscopic-assisted anorectoplasty (LAARP) is becoming a more popular procedure for anorectal malformation (ARM) repair. However, the conventional technique for creating pull-through tunnel between the perineal skin and the pelvic floor has been criticized as being semi-blind. This study aims to present a refined version of our previously reported clamp introduction technique for visualized tunnel formation in the center of the sphincter muscle complex (SMC) for rectal pull- through for ARMs. Read More

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Neorectal mucosal prolapse after intersphincteric resection for low lying rectal cancer: a case report.

Ann Coloproctol 2021 Apr 22. Epub 2021 Apr 22.

Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Radical resection for low rectal cancer is the mainstay among the treatment modalities. Intersphincteric resection (ISR) is considered a relatively new but effective surgical treatment for low-lying rectal tumor. As the sphincter preserving techniques get popularized, we notice uncommon complication associated with it in the form of rectal mucosal prolapse. Read More

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Rectal-vaginal pressure gradient in patients with pelvic organ prolapse and symptomatic rectocele.

BMC Womens Health 2021 04 20;21(1):165. Epub 2021 Apr 20.

Department of Obstetrics and Gyencology, Peking University People's Hospital, No. 11 of Xizhimen south Street, Xicheng District, Beijing, 100048, China.

Objective: The aim of this study is to examine the relationship between rectal-vaginal pressure and symptomatic rectocele in patients with pelvic organ prolapse (POP).

Method: Patients with posterior vaginal prolapse staged III or IV in accordance with the POP Quantitation classification method who were scheduled for pelvic floor reconstructive surgery in the years 2016-2019 were included in the study. Rectocele was diagnosed using translabial ultrasound, and obstructed defecation (OD) was diagnosed in accordance with the Roma IV diagnostic criteria. Read More

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Postoperative complications and recurrence rates after rectal prolapse surgery versus combined rectal prolapse and pelvic organ prolapse surgery.

Int Urogynecol J 2021 Apr 17. Epub 2021 Apr 17.

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

Introduction And Hypothesis: Our primary objectives were to compare < 30-day postoperative complications and RP recurrence rates after RP-only surgery and combined surgery. Our secondary objectives were to determine preoperative predictors of < 30-day complications and RP recurrence.

Methods: A prospective IRB-approved cohort study was performed at a single tertiary care center from 2017 to 2020. Read More

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Evaluation of the learning curve of robot-assisted laparoscopic ventral mesh rectopexy.

Surg Endosc 2021 Apr 9. Epub 2021 Apr 9.

Department of Surgery, Meander Medical Center, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands.

Background: The current standard treatment for external rectal prolapse and symptomatic high-grade internal rectal prolapse is surgical correction with minimally invasive ventral mesh rectopexy using either laparoscopy or robotic assistance. This study examines the number of procedures needed to complete the learning curve for robot-assisted ventral mesh rectopexy (RVMR) and reach adequate performance.

Methods: A retrospective analysis of all primary RVMR from 2011 to 2019 performed in a tertiary pelvic floor clinic by two colorectal surgeons (A and B) was performed. Read More

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Long-Term Outcomes of Sectorial Longitudinal Augmented Prolapsectomy for Asymmetric Muco-hemorrhoidal Prolapse: An Observational Study of 433 Consecutive Patients.

Surg Innov 2021 Apr 8:15533506211007292. Epub 2021 Apr 8.

Division of General, Mini-invasive and Obesity Surgery, University of Study of Campania "Luigi Vanvitelli", Naples, Italy.

Purpose: Hemorrhoidal disease (HD) is a widespread condition severely influencing patients' quality of life. Recently, the large diffusion of stapled hemorrhoidopexy has revealed a new unexpected pathological entity: the asymmetric mucosal prolapse. We aimed to assess the outcomes of the sectorial longitudinal augmented prolapsectomy (SLAP), a technique dedicated to asymmetric prolapse, in terms of HD symptoms, prolapse recurrence, and rectal stenosis. Read More

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Absent or impaired rectoanal inhibitory reflex as a diagnostic factor for high-grade (grade III-V) rectal prolapse: a retrospective study.

BMC Gastroenterol 2021 Apr 7;21(1):157. Epub 2021 Apr 7.

Department of Surgery, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan, 49241, Republic of Korea.

Background: Clinically diagnosing high-grade (III-V) rectal prolapse might be difficult, and the prolapse can often be overlooked. Even though defecography is the significant diagnostic tool for rectal prolapse, it is noticed that rectoanal inhibitory reflex (RAIR) can be associated with rectal prolapse. This study investigated whether RAIR can be used as a diagnostic factor for rectal prolapse. Read More

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Comparative outcomes for older adults undergoing surgery for bladder and bowel dysfunction.

J Am Geriatr Soc 2021 Apr 5. Epub 2021 Apr 5.

Department of Surgery, University of California, San Francisco, San Francisco, California, USA.

Background/objectives: To compare surgical outcomes between vulnerable nursing home (NH) residents and matched community-dwelling older adults undergoing surgery for bladder and bowel dysfunction.

Design: Retrospective cohort study.

Participants: A total of 55,389 NH residents and propensity matched (based on procedure, age, sex, race, comorbidity, and year) community-dwelling older adults undergoing surgery for bladder and bowel dysfunction [female pelvic surgery, transurethral resection of the prostate, suprapubic tube placement, hemorrhoid surgery, rectal prolapse surgery]. Read More

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How to treat rectal prolapse in a male patient with faecal incontinence: Delorme's procedure combined with levatorplasty - A Video Vignette.

Colorectal Dis 2021 Apr 4. Epub 2021 Apr 4.

Colorectal Surgery Unit, Department of General Surgery, Mansoura University, Mansoura, Egypt.

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Complete Prolapse of a Giant Upper Rectal Adenoma.

J Coll Physicians Surg Pak 2021 Mar;31(3):363-364

Department of Gastrointestinal Surgery, Taizhou Hospital of Zhejiang Province, China.

Null. Read More

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Spontaneous trans-anal evisceration of small bowel: a case report.

Authors:
Omar Lasheen

J Surg Case Rep 2021 Mar 18;2021(3):rjaa582. Epub 2021 Mar 18.

Department of General and Colorectal Surgery, Royal Oldham Hospital Pennine Acute Trust, Oldham OL1 2JH, UK.

Trans-anal evisceration of small bowel is a rare surgical presentation. The first case ever reported was in 1827. The exact mechanism of how this develops remains poorly understood. Read More

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Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability.

Tech Coloproctol 2021 Mar 20. Epub 2021 Mar 20.

Proctology Unit and Pelvic Floor Unit, Division of Digestive Surgery, Department of Surgery, Geneva University Hospitals and Medical School, 4 rue Gabrielle-Perret-Gentil, 1211, Geneva, Switzerland.

Background: Puborectalis muscle rupture usually arises from peri-partum perineal trauma and may result in anterior, middle compartment prolapses, posterior compartment prolapse which includes rectocele and rectal prolapse, with or without associated anal sphincter damage. Patients with puborectalis muscle and levator ani rupture may present some form of incontinence or evacuation disorder, sexual dysfunction or pelvic organ descent. However, the literature on this subject is scarce. Read More

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Laparoscopic approach to recurrence following multiple surgeries for external rectal prolapse: a case report.

Surg Case Rep 2021 Mar 19;7(1):71. Epub 2021 Mar 19.

Department of Surgery, Otsu City Hospital, 2-9-9 Motomiya, Otsu, Shiga, 520-0804, Japan.

Introduction: The optimal procedure for recurrent external rectal prolapse remains unclear, particularly in laparoscopic approach. In addition, pelvic organ prolapse (POP) is sometimes concomitant with rectal prolapse. We present a case who underwent laparoscopic procedure for the recurrence of full-thickness external rectal prolapse coexisting POP. Read More

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Deletion of mucin 2 induces colitis with concomitant metabolic abnormalities in mice.

Am J Physiol Gastrointest Liver Physiol 2021 May 17;320(5):G791-G803. Epub 2021 Mar 17.

Department of Biology, University of British Columbia Okanagan , Kelowna, British Columbia, Canada.

Patients with inflammatory bowel disease (IBD) are at increased risk of under-recognized metabolic comorbidities. Chronic intestinal inflammation in IBD along with changes to the gut microbiome leads to broader systemic effects. Despite the existence of multiple animal models to study colitis, limited studies have examined the metabolic abnormalities associated with these models. Read More

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