Acta chirurgica Iugoslavica 2012 Volume 59, Issue 2, Pages: 21-24
https://doi.org/10.2298/ACI1202021X
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Functional results after surgery for overt rectal prolaps
Xynos Evaghelos (Colorectal Unit, "Agia Olga" Hospital of Athens, Athens, Geece)
Several procedures have been designed and applied to treat overt rectal
prolapse (ORP). Transperineal procedures, such Altemeier and Delorme
operations, are associated with less morbidity, but higher rate of recurrence
and less optimal functional results. Transabdominal procedures include a
variety of rectopexies with the use of prosthesis or sutures and with or
without resection of the redundant sigmoid colon. Nowadays, they are all
approached by laparoscopy. Traditional prosthesis rectopexies repair ORP and
improve incontinence, but are associated with increased rate of constipation.
Resection sutuere-rectopexy seems to be associated with the best functional
results, particular in patients with slow transit constipation and
diverticular disease. More recently, prosthesis ventral coloporectopexy seems
to be less invasive and to offer very satisfactory results.
Keywords: rectal prolapse, Alteimer, Delorme, rectopexy