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Can Vet J 2022 Jun;63(6):593-596

Ulsan S Animal Medical Center, Ulsan, Republic of Korea (Park); S Animal Cancer Center, Yangsan, Republic of Korea (Park); Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon 34134, Republic of Korea (Moon, Kim, Lee, Jeong).

A 2.5-kg castrated male Maltese dog, suspected to be older than 10 y, was presented with a prolapsed mass at the anus. This had occurred on 2 previous occasions within the last 4 mo and had been managed with manual reduction and purse-string sutures. Read More

Open Vet J 2022 Mar-Apr;12(2):212-220. Epub 2022 Apr 2.

Department of Internal Medicine and Infectious Diseases, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt.

Background: Rectal prolapse (RP) is a serious illness of the rectum and small intestine causing serious health problems in domestic animals. However, there is paucity in the estimation of the risk factors associated with this problem in calves.

Aim: In the present study, we investigated the prevalence and risk factors associated with the rectal prolapse in both bovine and buffalo calves in Egypt, highlighting the most appropriate treatment strategy. Read More

Tech Coloproctol 2022 May 19. Epub 2022 May 19.

Centre for Neuroscience, Surgery and Trauma, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Background: The effectiveness of laparoscopic ventral mesh rectopexy (LVMR) in patients with defecatory disorders secondary to internal rectal prolapse is poorly evidenced. A UK-based multicenter randomized controlled trial was designed to determine the clinical efficacy of LVMR compared to controls at medium-term follow-up.

Methods: The randomized controlled trial was conducted from March 1, 2015 TO January 31, 2019. Read More

Wien Med Wochenschr 2022 Feb 15. Epub 2022 Feb 15.

Pediatric Gastroenterology and Hepatology Research Center, Zabol University of Medical Sciences, Zabol, Iran.

Transanal protrusion of intussusception (TAPI; also known as prolapsed intussusception) is a rare complication. Here, we present a successful colonoscopic reduction of ileocolic intussusception presented with transanal prolapse. An 8‑month male child, weighing 8 kg, was referred to our hospital presenting with a mass in his anal canal, diarrhea and rectal bleeding for two days. Read More

Am Surg 2022 Feb 5:31348221075733. Epub 2022 Feb 5.

Department of Surgery, 89021University of Toledo Medical Centre, Toledo, OH, USA.

Stercoral ulcers are localized areas of loss of colonic mucosal integrity. They result from pressure necrosis of the colonic mucosa, secondary to chronic constipation and fecal inspissation. These ulcers are rare and, are associated with serious complications, including bleeding and perforation. Read More

Cureus 2021 Nov 12;13(11):e19497. Epub 2021 Nov 12.

General Surgery, Pilgrim Hospital, Boston, GBR.

Aim: This prospective study aimed to determine the outcomes and postoperative complications of hemorrhoid disease (HD) treated by hemorrhoidal laser procedure (HeLP).

Background: We, herein report the results of 18 months of methodical use of mini-invasive laser procedures in 100 patients with grades 2 and 3 hemorrhoids and minimum to a mild degree of rectal prolapse. The surgical technique is called HeLP. Read More

J Am Vet Med Assoc 2021 11 18;260(1):94-99. Epub 2021 Nov 18.

Northeast Veterinary Referral Hospital, Plains, PA.

Case Description: A 4-month-old 4.2 kg sexually intact female mixed-breed dog was evaluated for rectal and vesicular tenesmus, intermittent rectal prolapse, fecal incontinence, and an anogenital cleft.

Clinical Findings: Rectal prolapse and an anogenital cleft were confirmed on physical examination. Read More

J Am Assoc Lab Anim Sci 2021 11 8;60(6):692-699. Epub 2021 Nov 8.

Animal Resources Center and Department of Surgery, University of Chicago, Chicago, Illinois.

Rectal prolapse (RP) is a common clinical condition in mice, that does not have a recognized or documented standard of care. At our institution, an average of 240 mice develop RP each year. Our practice has been to recommend euthanasia upon identifying a RP based on its appearance as a painful or distressful condition. Read More

Ann Coloproctol 2021 Oct 21. Epub 2021 Oct 21.

Department of Radiology, Jeevan Jyot Hospital, Thane, India.

Purpose: The surgical management of patients with full-thickness rectal prolapse (FTRP) continues to remain a challenge in the laparoscopic era. This study retrospectively assesses a cohort of patients undergoing a transanal suture sacro rectopexy supported by sclerosant injection into the presacral space under ultrasound guidance.

Methods: Patients with FTRP underwent a sutured transrectal presacral fixation of 2/3 of the circumference of the rectum from the third sacral vertebra to the sacrococcygeal junction through a side-viewing operating proctoscope. Read More

Tech Coloproctol 2021 Dec 11;25(12):1281-1289. Epub 2021 Oct 11.

Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa, Chiba, Japan.

Background: The aim of this study was to assess the long-term annual functional results and quality of life (QOL) after laparoscopic ventral rectopexy (LVR) for rectoanal intussusception (RAI) and/or rectocele.

Methods: This study was a retrospective analysis of prospectively collected data. The study was conducted on patients who underwent LVR for RAI and/or rectocele at our institution between February 2012 and July 2015. Read More

J Vet Emerg Crit Care (San Antonio) 2021 Sep 24;31(5):656-660. Epub 2021 Aug 24.

Anderson Moores Veterinary Specialists, Winchester, UK.

Objective: To describe the nonsurgical management of prolapsed colocolic intussusception in 2 puppies.

Case Summary: Two 3-month-old male intact puppies (Pug and Labrador Retriever) developed intussusceptions that had prolapsed from the anus after they had suffered from tenesmus with soft feces or diarrhea. Reduction of the prolapsed tissue was performed and colocolic intussusception was diagnosed ultrasonographically in 1 dog. Read More

Cureus 2021 Jul 18;13(7):e16455. Epub 2021 Jul 18.

Surgery, University of Central Florida College of Medicine, Orlando, USA.

The proper management of a prolapsed rectal mass in a child or teenager is challenging. Given that the underlying etiology of a prolapsed rectal mass in this population is not always immediately clear, interdisciplinary assessment is often required. Juvenile polyps, more commonly presenting with bleeding than a prolapsed mass, can mimic the appearance of both hemorrhoids and the rectum itself - making a purely clinical diagnosis difficult. Read More

J Vasc Interv Radiol 2021 09 22;32(9):1348-1357. Epub 2021 Jun 22.

UOC Prima Chirurgia, Dipartimento di Chirurgia, Azienda ULSS2 Marca Trevigiana, Treviso, Italy.

Purpose: To assess the technical and clinical success rates of superior rectal artery embolization in the treatment of symptomatic Grades 2 and 3 hemorrhoidal disease.

Materials And Methods: Since March 2019, 43 patients (24 men and 19 women; mean age, 52 years [18-77 years]) with symptomatic hemorrhoidal disease have been treated and completed the 6-month follow-up with anamnestic questionnaire and disease scores, including French bleeding, Goligher prolapse, visual analog scale for pain, and quality of life. Clinical success was assessed at 7 days, 1 month, and 6 months of follow-up by updating the clinical scores. Read More

Int J Colorectal Dis 2021 Aug 15;36(8):1621-1631. Epub 2021 Mar 15.

Division of Cancer Surgery, University of Melbourne, Sir Peter MacCallum Cancer Centre, Melbourne, Australia.

Introduction: Ventral mesh rectopexy is frequently performed as a means of improving the quality of life for sufferers of rectal prolapse. The minimally invasive approach is highly desirable but can be technically difficult to achieve in the narrow confines of the pelvis. The robotic platform is becoming a more common means of overcoming these difficulties, but evidence of an objective benefit over standard laparoscopy is scarce. Read More

Langenbecks Arch Surg 2021 Aug 4;406(5):1591-1598. Epub 2021 Feb 4.

Day Week Surgery Departmental Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, via F Sforza 35, Milan, 20122, Italy.

Purpose: In the attempt to understand the reasons for and to find a solution to the high recurrence rate after perineal surgery for complete rectal prolapse, we retrospectively analysed the long-term results of Altemeier's procedure alone, or associated with Trans-Obturator Colonic Suspension (TOCS) in a large series of patients with a median interval of 84 months (range 6-258).

Methods: Medical records of 110 patients undergoing Altemeier with levatorplasty (group 1) and 20 patients submitted to the same procedure associated with TOCS (group 2) for newly diagnosed complete rectal prolapse were reviewed. All patients had been recruited after preoperative clinical examination, SF-36 quality of life, continence score and colonoscopy. Read More

Dis Colon Rectum 2021 05;64(5):592-600

1 Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, Illinois 2 Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.

Background: Hemorrhoids are common and affect mainly the young and middle-aged populations. Current guidelines recommend treating grade I and II hemorrhoids with office-based procedures. These therapies usually require multiple applications. Read More

Gan To Kagaku Ryoho 2020 Dec;47(13):2210-2212

Dept. of Gastroenterological Surgery, Iseikai Hospital.

We herein report a case of application of sugar to the edematous stoma for obstructive rectal cancer. A 70-year-old male patient was diagnosed with rectal cancer, bowel obstruction and multiple lung metastases. Colostomy was performed. Read More

Dis Colon Rectum 2020 12;63(12):e565

Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

J Obstet Gynaecol 2021 May 27;41(4):594-600. Epub 2020 Aug 27.

Department of Urogynaecology, St Mary's Hospital, Imperial College Healthcare NHS Trust, Paddington, London, UK.

The most appropriate method for repairing posterior vaginal wall prolapse is still debatable. Women with symptomatic prolapse scheduled to undergo surgical repair in the posterior compartment were randomised to standard posterior colporrhaphy (SPC) or fascial and vaginal epithelial plication (FEP). Participants were assessed with the Prolapse Quality of Life (P-QOL) questionnaire, pelvic organ prolapse quantification (POP-Q) examination and three-dimensional ultrasound (3D US) prior to surgery and 6 months postoperatively. Read More

Int Urogynecol J 2020 10 20;31(10):2019-2025. Epub 2020 Jul 20.

Colorectal Surgery Unit, General Surgery Department, Mansoura faculty of medicine, Mansoura University, Mansoura city, Egypt.

Introduction And Hypothesis: The present study aimed to assess the changes in manometric parameters after transperineal repair (TPR) of rectocele and interpret failure of symptom improvement in light of these changes.

Methods: This was an observational cohort study on patients with anterior rectocele who underwent TPR in the period of February 2016 to February 2019. Data collected included patients' demographics, rectocele size, Wexner constipation and incontinence scores, anal pressures, and rectal sensation before and 12 months after TPR. Read More

J Pediatr Surg 2020 Sep 28;55(9):1969-1973. 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

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

Mil Med 2020 09;185(9-10):e1794-e1802

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

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

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

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

Am J Case Rep 2020 Feb 20;21:e920431. Epub 2020 Feb 20.

Department of Surgery, University of Miyazaki Faculty of Medicine, Kiyotake, Miyazaki City, Miyazaki, Japan.

BACKGROUND Stoma prolapse is the full-thickness protrusion of bowel through a stoma, which occurs in 2% to 26% of colostomies. However, stoma prolapse complicated by small bowel incarceration is very rare, reported in only 3 cases thus far. To our knowledge, the present case is the first reported case of surgical treatment after preoperative manual reduction for small bowel incarceration. Read More

J Matern Fetal Neonatal Med 2022 Feb 4;35(3):481-485. Epub 2020 Feb 4.

G.A. Ushakova Obstetrics and Gynecology Department, Kemerovo State Medical University, Kemerovo, Russia.

Background: Pelvic floor dysfunction (PFD) is a multifactorial condition that clinically manifests as the pelvic prolapse, urinary and/or rectal incontinence, and sexual dysfunction.

Aim: We aimed to evaluate the efficacy of two pelvic floor trainers for the prevention of PFD in women during the postpartum period.

Materials And Methods: This was a prospective, randomized, open-label study in 70 women in the postpartum period. Read More

Tech Coloproctol 2020 01 11;24(1):65-73. Epub 2019 Dec 11.

Department of Surgery, School of Medicine, School of Medicine of the Federal University of Ceará, Av Atilano de Moura 430, Fortaleza, Ceará, 60810-180, Brazil.

Background: The aim of this study was to evaluate the impact of the transanal repair of rectocele and rectal mucosectomy with a single circular stapler (TRREMS) on the treatment of obstructed defecation due to rectocele and to identify the predictive factors for unsuccessful results.

Methods: Consecutive patients with obstructed defecation symptoms (ODS) associated with rectocele who had the TRREMS procedure were included. Each patient was assessed by echodefecography, manometry, and colonic transit time as well as the Cleveland Clinic constipation score (CCS) before therapy and at follow-up after 6 months. Read More

Tech Coloproctol 2019 Jun 28;23(6):529-535. Epub 2019 Jun 28.

Department of Surgery, Westmead Hospital, Sydney, NSW, Australia.

Background: Laparoscopic ventral mesh rectopexy (LVR) is a treatment with promising results in external rectal prolapse, rectal intussusception, and rectocele. Because of the emergence of robotic-assisted surgery and the technical advantage it provides, we examined the potential role and place of robotic surgery in ventral rectopexy.

Methods: MEDLINE, PubMed, and other databases were searched, by two independent reviewers, to identify studies comparing robotic to laparoscopic ventral mesh rectopexy. Read More