Adult rectal prolapse: how to choose the surgical approach

Adult rectal prolapse seriously affects the quality of life of patients, the etiology is complex, surgery is still the main means of treatme

Content

Adult rectal prolapse seriously affects the quality of life of patients, the etiology is complex, surgery is still the main means of treatment of this disease. The specific operation is more, the main mode of operation with perineal surgery, abdominal surgery and laparoscopic surgery, has not a valid data to evaluate various surgical effectiveness and indications, the most ideal method of treatment is still controversial. How to improve the effect of the operation, restore the good defecation function, reduce the recurrence rate and reduce the complications, is the focus of attention. Individualized treatment may achieve the best therapeutic effect. The choice of surgical methods for rectal prolapse mainly depends on the clinical characteristics of the patients and the experience of the doctors. The assessment should include the anatomical defects of their preoperative degree of prolapse, considering the complications, symptoms and anorectal function evaluation, and the patient's overall condition, to determine the best way and the specific operation is suitable for operation and determine the operation way. Although the available data are limited, preoperative complications should be evaluated, such as constipation, fecal incontinence and postoperative recurrence. For patients with rectal prolapse, the patient may get an ideal therapeutic effect by performing a systematic functional evaluation of the perioperative period and an individualized surgical treatment.

 

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