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In 2020 another systematic review compared the use of synthetic mesh and biologic mesh in ventral mesh rectopexy for external rectal prolapse or symptomatic internal rectal prolapse. [19] The review included 32 studies containing a total of 4001 cases where synthetic mesh was used and 762 where biologic mesh was used.
Cul-de-sac hernias may be classified as rectal, septal, or vaginal depending on the structure they herniate into. Rectal cul-de-sac hernias herniate into an internal or external rectal prolapse. Septal cul-de-sac hernias herniate into the recto-vaginal septum (rectovesical septum in males). Vaginal cul-de-sac hernias bulge into the vagina itself.
Hemorrhoids are amongst the most common anal disorders. 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.
The procedure reduces constipation and fecal incontinence in patients with rectal prolapse or rectal intussusception, and has a low rate of complications and recurrence. [64] The procedure is able to correct multiple anatomical defects associated with vaginal and rectal prolapse, as well as improving function in terms of continence and defecation.
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.
Once the superior rectal arteries are identified through the Doppler, a suture ligation is performed to effectively decrease the blood flow to the hemorrhoidal plexus. In case of redundant prolapse, the prolapsed mucosal membrane is lifted and sutured (with the last suture minimum 5 mm above the pectinate line [ 4 ] ), repositioning ...
Long term injury to the rectal mucosa and ischemic trauma are thought to be the main mechanisms. [5] In a report of 36 patients with SRUS, the underlying cause was internal prolapse (intussusception) in 20 patients, external rectal prolapse in 14 patients, and dyssynergic defecation (anismus) in 2 patients. [7]
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.