Surgical options for full-thickness rectal prolapse: current status and institutional choice (EN)

Kadokawa, Yoshio

Aisu, Yuki

Kimura, Yusuke

Kitano, Taku

Takamatsu, Yuichi

Machimoto, Takafumi

Ito, Tatsuo

Kato, Shigeru

Yoshimura, Tsunehiro

Hori, Tomohide

Yasukawa, Daiki

Hata, Toshiyuki

Full-thickness rectal prolapse (FTRP) is generally believed to result from a sliding hernia through a pelvic fascial defect, or from rectal intussusception. The currently accepted cause is a pelvic floor disorder. Surgery is the only definitive treatment, although the ideal therapeutic option for FTRP has not been determined. Auffret reported the first FTRP surgery using a perineal approach in 1882, and rectopexy using conventional laparotomy was first described by Sudeck in 1922. Laparoscopy was first used by Bermann in 1992, and laparoscopic surgery is now used worldwide; robotic surgery was first described by Munz in 2004. Postoperative morbidity, mortality, and recurrence rates with FTRP surgery are an active research area and in this article we review previously documented surgeries and discuss the best approach for FTRP. We also introduce our institution’s laparoscopic surgical technique for FTRP (laparoscopic rectopexy with posterior wrap and peritoneal closure). Therapeutic decisions must be individualized to each patient, while the surgeon’s experience must also be considered. Keywords Rectal prolapse, rectopexy, laparoscopic surgery, mesh, posterior wrap, peritoneal closure Ann Gastroenterol 2018; 31 (2): 188-197 (EN)

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info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία

Annals of Gastroenterology

Review Articles

Αγγλική γλώσσα

2018-03-05

http://www.annalsgastro.gr/index.php/annalsgastro/article/view/3559

Hellenic Society of Gastroenterology (EN)

1792-7463

1108-7471

Annals of Gastroenterology; Volume 31, No 2 (2018); 188 (EN)

Copyright (c) 2018 Annals of Gastroenterology (EN)