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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.
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.
Secondary cul-de-sac hernias are those which develop after gynecologic procedures, especially after vaginal hysterectomy. [8] Another classification of cul-de-sac hernias is internal, meaning those that are only visible on defecography, or external, which are associated with a clinically visible rectocele or rectal prolapse. [4]
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...
A Chinese man suffered a severe instance of rectal prolapse after he sat on a toilet for half an ... who was treated by Dr. Su Dan from the gastrointestinal surgery division of The Sixth ...
Using a surgical stapler, the procedure removes the excess tissue in the rectum, reducing the anatomical defects that can cause ODS. In a study of 90 patients undergoing the STARR procedure, patients were hospitalized one to three days, experienced minimal postoperative pain after the procedure, and resumed employment or normal activity in 6 to ...
A mesh may be used to reinforce the anterior rectal wall. [8] It can be done as an open procedure or with a laparoscopic abdominal approach. [8] Some authors state rectopexy is suitable in highly select cases, [9] while others say it is the procedure of choice, [7] since it directly addresses the most likely cause. [8]
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.