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The condition is thought to be caused by different factors, such as long term constipation, straining during defecation, and dyssynergic defecation (anismus). Treatment is by normalization of bowel habits, biofeedback, and other conservative measures. In more severe cases, various surgical procedures may be indicated.
Another way of categorizing surgery for prolapse of pelvic organs is suspensive or resective (involving removal of sections of the bowel wall). Ventral rectopexy alone is a syspensive type surgery, a category which also includes colposacropexy. [10] Resection rectopexy additionally involves removal of a section of the sigmoid colon ...
In 1908, Lane reported a syndrome of severe chronic constipation, often with dysfunction of pelvic muscles and obstructed defecation—invariably with psychological dysfunction, impairing quality of life, but affecting mostly women—a syndrome soon termed Lane disease, yet now otherwise termed slow transit constipationas well as colonic inertia.
Obstructed defecation is one of the causes of chronic constipation. [22] ODS is a loose term, [20] consisting of a constellation of possible symptoms, [7] caused by multiple, complex [23] and poorly understood [24] disorders which may include both functional and organic disorders. [18]
Colonic transit studies may be used to rule out colonic inertia if there is a history of severe constipation. [3] [5] Continent prolapse patients with slow transit constipation, and who are fit for surgery may benefit from subtotal colectomy with rectopexy. [5]
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.
General surgery: Symptoms: Abdominal pain, abdominal bloating, vomiting, constipation, bloody stool [1] [2] Complications: Ischemic bowel [1] Usual onset: Rapid or more gradual [2] Risk factors: Intestinal malrotation, enlarged colon, Hirschsprung disease, pregnancy, abdominal adhesions, chronic constipation [1] [3] Diagnostic method
Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. [2] The stool is often hard and dry. [4] Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. [3]
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