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

 
This item is provided by the institution :

Repository :
Annals of Gastroenterology
see the original item page
in the repository's web site and access all digital files if the item*
share




2018 (EN)
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)

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2018-03-05


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)



*Institutions are responsible for keeping their URLs functional (digital file, item page in repository site)