Perineal repair of a full-thickness rectal prolapse in a wild Sumatran orangutan (Pongo abelii)

2018 ◽  
Vol 48 (1) ◽  
pp. 65-67
Author(s):  
Yenny Saraswati ◽  
Peter Sedman ◽  
Rebecca Sedman ◽  
Andika Pandu Wibisono ◽  
Citrakasih Nente ◽  
...  
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Repair ◽  
Pongo Abelii ◽  
Sumatran Orangutan

scholarly journals EFFECT OF PERINEAL REPAIR AND MUSHAKADI TAILA MATRABASTI IN MANAGEMENT OF RECTAL PROLAPSE (GUDABHARMSA): A CASE STUDY

2020 ◽  
Vol 8 (8) ◽  
pp. 4267-4270
Author(s):  
Sapna Maheshwari ◽  
Harshit Shah ◽  
Pragnesh Patel
Keyword(s):  
Rectal Prolapse ◽  
Signs And Symptoms ◽  
Cost Effective ◽  
Complete Rectal Prolapse ◽  
Full Thickness ◽  
Perineal Repair ◽  
Chief Complaints ◽  
Surgical Options ◽  
External Rectal Prolapse

Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.

Neorectum prolapse after rectal cancer surgery corrected with perineal stapled prolapse resection

2022 ◽  
Vol 15 (1) ◽  
pp. e246356
Author(s):  
Joanna Pauline A Baltazar ◽  
Marc Paul J Lopez ◽  
Mark Augustine S Onglao
Keyword(s):  
Rectal Cancer ◽  
Rectal Prolapse ◽  
Low Anterior Resection ◽  
Coloanal Anastomosis ◽  
Intersphincteric Resection ◽  
Rectal Cancer Surgery ◽  
Anal Pain ◽  
Full Thickness ◽  
Mesorectal Excision ◽  
Perineal Stapled Prolapse Resection

A 61-year-old woman developed neorectal prolapse after laparoscopic low anterior resection, total mesorectal excision with partial intersphincteric resection and handsewn coloanal anastomosis for rectal cancer. She presented with a 3 cm full thickness reducible prolapse, with associated anal pain and bleeding. A perineal stapled prolapse resection was performed to address the rectal prolapse, with satisfactory results.

Rectal Prolapse: Perineal Procedures

2019 ◽  
Author(s):  
Steven D. Wexner ◽  
Susan M. Cera ◽  
Victoria Valinluck Lao
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Key Words ◽  
Rectal Wall ◽  
Preoperative Evaluation ◽  
Full Thickness ◽  
Recent Advances

Rectal prolapse is a condition wherein a full thickness intussusception of the rectal wall protrudes out of the anus. The diagnosis is rare, ~ 0.5% of the population, and occurs most often in elderly females. The diagnosis is associated with constipation, fecal incontinence, or both. The repair of rectal prolapse can be divided into perineal and abdominal procedures. In this review, we will discuss preoperative evaluation, management and planning as well as describe key widely accepted perineal procedures, the Delorme and Altemeier, and report recent advances. Abdominal procedure and advances in that arena will be discussed in a separate review. This review contains 9 figures, 7 tables, and 32 references.  Key words: Rectal prolapse, perineal procedure, resection, Altemeier, Delorme, Thiersch wire, perineal stapled resection, levatoroplasty

scholarly journals Laparoscopic Posterolateral Rectopexy for the Treatment of Patients With a Full Thickness Rectal Prolapse: Experience With 63 Patients and Short-term Outcomes

2018 ◽  
Vol 34 (3) ◽  
pp. 119-124 ◽  
Author(s):  
Keehoon Hyun ◽  
Shi-Jun Yang ◽  
Ki-Yun Lim ◽  
Jong-Kyun Lee ◽  
Seo-Gue Yoon
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Short Term

Altemeier procedure for full‐thickness rectal prolapse complicated by ischaemic stricture – a video vignette

2020 ◽  
Vol 22 (7) ◽  
pp. 842-843
Author(s):  
N. E. Samalavicius ◽  
P. Kavaliauskas ◽  
D. Simcikas ◽  
A. Dulskas
Keyword(s):  
Rectal Prolapse ◽  
Full Thickness ◽  
Altemeier Procedure ◽  
Video Vignette

scholarly journals Rectosigmoid carcinoma presenting as full-thickness rectal prolapse

2019 ◽  
Vol 12 (12) ◽  
pp. e230409
Author(s):  
Daniel Montwedi
Keyword(s):  
Rectal Prolapse ◽  
Pelvic Floor ◽  
Microsatellite Instability ◽  
Colonic Obstruction ◽  
Full Thickness ◽  
Rectosigmoid Junction ◽  
Colorectal Tumour ◽  
Recent Onset ◽  
Rectal Tumour

A 34-year-old man with recent-onset constipation presented with colonic obstruction due to a palpable rectal tumour. Colostomy relieved the obstruction and biopsy revealed carcinoma. During workup, full-thickness rectal prolapse occurred with the tumour at the apex of an intussusception. Imaging revealed a low rectal tumour and no metastases. An abdominal oncological rather than perineal resection of the rectum was planned. At laparotomy, the tumour was reduced and was seen to originate at the rectosigmoid junction. Surgery was successful and follow-up has been clear. Histology revealed an adenocarcinoma with microsatellite instability. Rectal prolapse due to tumour intussusception is very rare. In this young man, it was due to straining at stool because of constipation and tenesmus rather than pelvic floor abnormality. An associated colorectal tumour should be considered in patients with rectal prolapse. In such cases, surgical and adjuvant management may need to be modified.

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