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Diagnosis and Clinical Management. Complications include constipation, which is reduced if the technique does not use posterior rectal mobilization freeing the rectum from its attached back surface. The advantage of the laproscopic approach is decreased healing time and less complications. Peritonitis Spontaneous bacterial peritonitis Hemoperitoneum Pneumoperitoneum. Textbook of gastroenterology 5th ed. Gastrointestinal Endoscopy. Contemporary surgery online.

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These procedures generally carry a higher recurrence rate and poorer functional outcome. The prolapse may be obvious, or it may require straining and squatting to produce it. Patients find the condition embarrassing. This page was last edited on 26 February , at It is very rarely life-threatening, but the symptoms can be debilitating if left untreated.

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The precise cause is unknown, [3] [9] [8] and has been much debated. This may progress to a chronically prolapsed and severe condition, defined as spontaneous prolapse that is difficult to keep inside, and occurs with walking, prolonged standing, [5] coughing or sneezing Valsalva maneuvers. Colorectal surgery Rectum. Since most patients with rectal prolapse have a long history of constipation, [9] it is thought that prolonged, excessive and repetitive straining during defecation may predispose to rectal prolapse. EUA examination under anesthesia of anorectum and banding of the mucosa with rubber bands. Are "solitary" rectal ulcer syndrome and "localized" colitis cystica profunda analogous syndromes caused by rectal prolapse.

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Description: The perineal approach generally results in less post-operative pain and complications, and a reduced length of hospital stay. Patients may have associated gynecological conditions which may require multidisciplinary management. 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. This classification also takes into account sphincter relaxation. Procedures for rectal prolapse may involve fixation of the bowel rectopexy , or resection a portion removed , or both. Rectal mucosal prolapse can be a cause of obstructed defecation outlet obstruction. Complications, sometimes serious, have been reported following STARR, [53] [54] [54] [55] [56] [57] but the procedure is now considered safe and effective.
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