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Rectal mucosal prolapse (mucosal prolapse, anal mucosal prolapse) is a sub-type of rectal prolapse, and refers to abnormal descent of the rectal mucosa through the anus. [21] It is different to an internal intussusception (occult prolapse) or a complete rectal prolapse (external prolapse, procidentia) because these conditions involve the full ...
Ventral rectopexy is a surgical procedure for external rectal prolapse, internal rectal prolapse (rectal intussusception), and sometimes other conditions such as rectocele, obstructed defecation syndrome, or solitary rectal ulcer syndrome.
Newer surgical procedures include stapled transanal rectal resection (STARR) and procedure for prolapse and hemorrhoids (PPH). Both STARR and PPH are contraindicated in persons with either enterocele or anismus. [1] This procedure is for internal hemorrhoids only and not for external hemorrhoids or anal fissures.
The exact methods of this procedure are not standardized and vary considerably, [8] [9] for example the exact number and locations of the injections and the volume of the injected material. [3] Before the operation, antibiotic prophylaxis may be given. [10] The rectum is prepared with a phosphate enema at least 2 hours before the procedure. [10]
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.
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 hemorrhoidal cushions in situ. This is different from a traditional hemorrhoidectomy, which focused on excising the hemorrhoidal bundle. In this procedure, there is no tissue excision.
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.
The procedure involves blocking the abnormal blood flow to the rectal (hemorrhoidal) arteries using microcoils and/or microparticles to decrease the size of the hemorrhoids and improve hemorrhoid related symptoms, especially bleeding. [2] It is a minimally invasive therapy that can be performed as an outpatient procedure. [3]
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