Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature
Rectal prolapse is associated with debilitating symptoms including the discomfort of prolapsing tissue, mucus discharge, hemorrhage, and defecation disorders of fecal incontinence, constipation, or both. The aim of treatment is to eliminate the prolapse, correct associated bowel function and prevent...
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| Format: | Article |
| Language: | English |
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The Japan Society of Coloproctology
2020-07-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/4/3/4_2019-035/_pdf/-char/en |
| _version_ | 1819145680621404160 |
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| author | Akira Tsunoda |
| author_facet | Akira Tsunoda |
| author_sort | Akira Tsunoda |
| collection | DOAJ |
| description | Rectal prolapse is associated with debilitating symptoms including the discomfort of prolapsing tissue, mucus discharge, hemorrhage, and defecation disorders of fecal incontinence, constipation, or both. The aim of treatment is to eliminate the prolapse, correct associated bowel function and prevent new onset of bowel dysfunction. Historically, abdominal procedures have been indicated for young fit patients, whereas perineal approaches have been preferred in older frail patients with significant comorbidity. Recently, the laparoscopic procedures with their advantages of less pain, early recovery, and lower morbidity have emerged as an effective tool for the treatment of rectal prolapse. This article aimed to review the current evidence base for laparoscopic procedures and perineal procedures, and to compare the results of various techniques. As a result, laparoscopic procedures showed a relatively low recurrence rate than the perineal procedures with comparable complication rates. Laparoscopic resection rectopexy and laparoscopic ventral mesh rectopexy had a small advantage in the improvement of constipation or the prevention of new-onset constipation compared with other laparoscopic procedures. However, the optimal surgical repair has not been clearly demonstrated because of the significant heterogeneity of available studies. An individualized approach is recommended for every patient, considering age, comorbidity, and the underlying anatomical and functional disorders. |
| first_indexed | 2024-12-22T13:01:53Z |
| format | Article |
| id | doaj.art-cd5360b7abe5491999591f084758c271 |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-12-22T13:01:53Z |
| publishDate | 2020-07-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-cd5360b7abe5491999591f084758c2712022-12-21T18:24:59ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532020-07-0143899910.23922/jarc.2019-0352019-035Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the LiteratureAkira Tsunoda0Department of Gastroenterological Surgery, Kameda Medical CenterRectal prolapse is associated with debilitating symptoms including the discomfort of prolapsing tissue, mucus discharge, hemorrhage, and defecation disorders of fecal incontinence, constipation, or both. The aim of treatment is to eliminate the prolapse, correct associated bowel function and prevent new onset of bowel dysfunction. Historically, abdominal procedures have been indicated for young fit patients, whereas perineal approaches have been preferred in older frail patients with significant comorbidity. Recently, the laparoscopic procedures with their advantages of less pain, early recovery, and lower morbidity have emerged as an effective tool for the treatment of rectal prolapse. This article aimed to review the current evidence base for laparoscopic procedures and perineal procedures, and to compare the results of various techniques. As a result, laparoscopic procedures showed a relatively low recurrence rate than the perineal procedures with comparable complication rates. Laparoscopic resection rectopexy and laparoscopic ventral mesh rectopexy had a small advantage in the improvement of constipation or the prevention of new-onset constipation compared with other laparoscopic procedures. However, the optimal surgical repair has not been clearly demonstrated because of the significant heterogeneity of available studies. An individualized approach is recommended for every patient, considering age, comorbidity, and the underlying anatomical and functional disorders.https://www.jstage.jst.go.jp/article/jarc/4/3/4_2019-035/_pdf/-char/enrectal prolapselaparoscopic procedureperineal procedurerecurrencefecal incontinenceconstipation |
| spellingShingle | Akira Tsunoda Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature Journal of the Anus, Rectum and Colon rectal prolapse laparoscopic procedure perineal procedure recurrence fecal incontinence constipation |
| title | Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature |
| title_full | Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature |
| title_fullStr | Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature |
| title_full_unstemmed | Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature |
| title_short | Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature |
| title_sort | surgical treatment of rectal prolapse in the laparoscopic era a review of the literature |
| topic | rectal prolapse laparoscopic procedure perineal procedure recurrence fecal incontinence constipation |
| url | https://www.jstage.jst.go.jp/article/jarc/4/3/4_2019-035/_pdf/-char/en |
| work_keys_str_mv | AT akiratsunoda surgicaltreatmentofrectalprolapseinthelaparoscopiceraareviewoftheliterature |