Journal Information
Vol. 33. Issue 1.
Pages 46-48 (January - March 2013)
Share
Share
Download PDF
More article options
Vol. 33. Issue 1.
Pages 46-48 (January - March 2013)
Technical notes
DOI: 10.1016/j.jcol.2012.12.001
Open Access
Rectal prolapse repair via vaginal route
Reparo do prolapso retal via vaginal
Visits
NOTICE Undefined index: totales (includes_ws_v2/modulos/cuerpo/info-item.php[202])
Héber de Oliveira Morscha,
Corresponding author
hebermorsch@brturbo.com.br

Corresponding author.
, Iuri Martin Goemannb
a Department of Obstetrics and Gynecology, Fundação Hospitalar de Rolante, Rolante, RS, Brazil
b College of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract

Many elderly patients have concomitant anorectal, urological and gynecological symptoms involving multiple perineal structures, which require the surgeon to operate in different areas of his specialty in order to correct different dystopias in a single procedure. We de- scribe a technique for total rectal prolapse correction offering low surgical risk for patients presenting with this pathology along with pelvic floor defects. We used a simple, minimally invasive technique, which showed complete success in the postoperative follow-up. The patients showed no peri- and post-operative complications and were discharged briefly after the procedure. Although it was a small sample, there was no case of rectal prolapse recurrence with the technique described. With the procedure described here, the treatment of rectal prolapse is possible with concomitant pelvic reconstruction in a single procedure, which is an interesting approach for elderly patients commonly affected by both diseases, as these patients often have other comorbidities that increase the perioperative risk.

Keywords:
Rectal prolapse
Genital dystopia
Surgical technique
Minimally invasive surgery
Vaginal surgery
Resumo

Muitos pacientes idosos possuem concomitância de sintomas anorretais, urológicos e gi- necológicos, envolvendo múltiplas estruturas perineais e obrigando o cirurgião a atuar em áreas diversas à sua especialidade para que possa corrigir diferentes distopias em um úni- co procedimento. Descrevemos aqui uma técnica de correção de prolapso total de reto que oferece baixo risco cirúrgico a pacientes que se apresentam com tal patologia juntamente com defeitos do assoalho pélvico. Utilizamos uma técnica simples, minimamente invasiva e que demonstrou sucesso total no acompanhamento pós operatório. Os pacientes não apresentaram intercorrências peri- e pós- operatórias, e tiveram breve tempo de internação hospitalar após o procedimento. Embora em amostra pequena, não obtivemos nenhum caso de recorrência do prolapso retal com a técnica descrita. Com o procedimento aqui descrito, é possível o tratamento do prolapso retal concomitante à correção da distopia genital em um único procedimento sendo tal abordagem interessante na população idosa comumente afetada pelas duas patologias, uma vez que tais pacientes frequentemente apresentam outras comorbidades que aumentam o risco perioperatório.

Palavras-chave:
Prolapso retal
Distopia genital
Técnica cirúrgica
Cirurgia minimamente invasiva
Cirurgia vaginal
Full text is only aviable in PDF
References
[1]
J.L. Novel.
Surgical Technique for theTreatment of Female Stress Urinary Incontinence: TransobturatorVaginalTape Inside-Out.
European Urology, 44 (2003), pp. 724-730
[2]
E.B. Takacs, K.C. Kobashi.
Minimally Invasive Treatment of Stress Urinary Incontinence and Vaginal Prolapse.
Urol Clin N Am, 35 (2008), pp. 467-476
[3]
J.M. Lawrence, E.S. Lukacz, C.W. Nager.
Prevalence and cooccurrence of pelvic floor disorders in community- dwelling women.
Obstet Gynecol, 111 (2008), pp. 678-685
[4]
F.X. Gonzales-Argentè, A. Jain, J.J. Nogueras.
Prevalence and severity of urinary incontinence and pelvic genital prolapse in females with anal incontinence or rectal prolapse.
Dis Colon Rectum, 44 (2001), pp. 920-926
[5]
J.E. Jelovsek, M.D. Barber, M.F. Paraiso, M.D. Walters.
Functional bowel and anorectal disorders in patients with pelvic organ prolapse and incontinence.
Am J Obstet Gynecol, 193 (2005), pp. 2105-2111
[6]
J.S. Wu, Rectal Prolapse:.
A Historical Perspective Curr Probl Surg, 46 (2009), pp. 602-716
[7]
R.E. Karulf, R.D. Madoff, S.M. Goldberg.
Rectal prolapse.
Curr Probl Surg, 38 (2001), pp. 771-832
[8]
T.E. Madiba, M.K. Baig, S.D. Wexner.
Surgical management of rectal prolapse.
Arch Surg, 140 (2005), pp. 63-73
[9]
M.A. Cuesta, P.J. Borgstein, D. de Jong, S. Meijer.
Laparoscopic rectopexy.
Surg Laparosc Endosc, 3 (1993), pp. 456-458
[10]
G. DiGiuro, D. Ignjatovic, J. Brogger, R. Bergamaschi.
How accurate are published recurrence rates after rectal prolapse surgery?. A meta-analysis of individual patient data.
Am J Surg, 191 (2006), pp. 773-778
[11]
U. Maes, J.D. Rives.
An operation for complete prolapse of the rectum.
Surg Gynecol Obstet, 42 (1926), pp. 594-599
[12]
F.J. McCann.
Note on an operation for the cure of prolapse of the rectum in the female.
Lancet, 1 (1928), pp. 1072-1073
Copyright © 2013. Sociedade Brasileira de Coloproctologia
Idiomas
Journal of Coloproctology

Subscribe to our newsletter

Article options
Tools
en pt
Cookies policy Política de cookies
To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.