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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.
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.
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 ...
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]
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 gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
Sigmoidocele is a prolapse of peritoneum that contains a section of sigmoid colon. In females, these prolapses usually descend between the rectum and the vagina. They are most likely to be seen during straining. Rectal prolapse/Internal rectal intussusception: The rectum may be seen to prolapse, whether internally or externally.