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There are over 300 different variations of surgical procedures described for rectal prolapse, and this area has seen rapid development. [3] However, there is no clear consensus regarding the best method. [6] Surgical treatment for rectal prolapse may be via the perineal or abdominal (transabdominal / peritoneal) approach.
Treatment of SRUS is difficult and there is a lack of evidence-based guidelines. [4] The treatment is based on the pathophysiology of SRUS, [5] and the main aim is restoration of a normal pattern of defecation. [1] The exact treatment depends on the severity of the symptoms, the severity/type of SRUS, and whether rectal prolapse is present or ...
The relative effectiveness of surgical options for treating fecal incontinence is not known. [2] A combination of different surgical and non-surgical therapies may be optimal. [2] A surgical treatment algorithm has been proposed for FI, [3] although this did not appear to include some surgical options. Isolated sphincter defects may be ...
The optimal treatment regime may be both surgical and non-surgical treatments. [62] The surgical options can be considered in four categories: restoration and improvement of residual sphincter function (sphincteroplasty, sacral nerve stimulation, tibial nerve stimulation, correction of anorectal deformity), replacement/imitation of the ...
A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. [2] However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.
Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. [1] The field is also known as proctology , but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular.
Surgical options in patients with malignant bowel obstruction need to be considered carefully as while it may provide relief of symptoms in the short term, there is a high risk of mortality and re-obstruction. [42] All cases of abdominal surgical intervention are associated with increased risk of future small-bowel obstructions.
Patients may complain of bleeding, prolapse, personal discomfort and minor anal leakage. Where traditional non-surgical measures such as rest, suppositories and dietary advice fail to improve the condition, there is then a choice of further treatments. Opinion on the best management for patients varies considerably.