Tratamento do prolapso retal completo: experiência do serviço de colo-proctologia do Hospital do Andaraí; Treatment of complete rectal prolapse: experience in Colo- … (original) (raw)

AN INTEGRATIVE REVIEW ON 'RECTAL PROLAPSE MANAGEMENT'

IJRAMS

Rectal prolapse implies falling out of the rectum through the anus due to loosening of its normal attachment inside the body. It is categorized into partial prolapse (without muscular layer) and complete prolapse of rectum which affects mostly adults and women over 50 years of age. The established treatment includes conservative measures such as correction of constipation, sub mucosal injection and surgical procedures such as rectopexy etc. with varied prognosis. Rectal prolapsed can be co related with 'Guda bransh' described in Sushrut samhita. Further, Sushrut has advocated manipulation (reduction) of protruded part, local fomentation, lubrication with medicated Ghrita (clarified butter) and Ksharkarma adjuvant to internal medicines having Vata pacifying and rejuvenating property. The manuscript attempts to simplify rectal prolapse management and touches maximum aspect of this embarrassing condition. This article will certainly prove useful to proctologists and researchers, who wish to enrich their knowledge about integrated rectal prolapse management.

Rectal prolapse in children: a study of 71 cases

Gastroenterology Review, 2015

Prolapse of the rectum is the herniation of the rectum through the anus, which may be categorised as mucosal or complete. To evaluate the clinical manifestation, treatment, and surgical complications of children with rectal prolapse over a 6-year period. This study was carried out on children aged < 14 years who were admitted or referred for rectal prolapse that failed to respond after medical treatment in Imam Khomeini and Abouzar Children's Hospital. Duration of the study was 6 years starting in March 2002. These cases were referred after failure of medical and conservative treatment. Age, sex, clinical manifestation, and type of procedure were recorded. Analysis was done using SPSS version 11.0 (SPSS Inc, Chicago, IL, USA). The χ(2) test was used for comparison. Seventy-one cases were included in this study. Of these cases, 50 (70.4%) were male and 21 (29.6%) were female (p < 0.0001). Mean age of cases was 4.97 ±3.42 years (range: 2 days to 13 years). Of the male cases, 38% were in the age range of 3-6 years. In female cases, 57.1% were in the range of 1.5-3 years. Of all 71 cases, injection sclerotherapy was done for 50 (70.43%) for the first time. Twenty-one cases had history of injection sclerotherapy and 16 (22.53%) were treated by perineal surgery, and 5 (7.04%) had abdominal surgery. One case experienced recurrent rectal prolapse (1.40%) following injection sclerotherapy. In girls, more than half of the cases were in the age range 1.5-3 years. Among male cases, 38% were in the age range of 1.5-3 years. The results of treatment of rectal prolapse in our hospitals was similar to that seen in developed countries.

Surgical treatment of rectal prolapse: experience and late results with 51 patients

Revista do Hospital das Clínicas, 2004

The "best" surgical technique for the management of complete rectal prolapse remains unknown. Due to its low incidence, it is very difficult to achieve a representative number of cases, and there are no large prospective randomized trials to attest to the superiority of one operation over another. PURPOSE: Analyze the results of surgical treatment of complete rectal prolapse during 1980 and 2002. METHOD: Retrospective study. RESULTS: Fifty-one patients underwent surgical treatment during this period. The mean age was 56.7 years, with 39 females. Besides the prolapse itself, 33 patients complained of mucous discharge, 31 of fecal incontinence, 14 of constipation, 17 of rectal bleeding, and 3 of urinary incontinence. Abdominal operations were performed in 36 (71%) cases. Presacral rectopexy was the most common abdominal procedure (29 cases) followed by presacral rectopexy associated with sigmoidectomy (5 cases). The most common perineal procedure was perineal rectosigmoidect...