Rectal prolapse treatment in elderly patients

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Rectal prolapse treatment in elderly patients

Background Rectal prolapse in elderly patients can cause considerable discomfort causing bleeding, itching, wet anus and tenesm. In older patients the gold standard treatment uses a perineal approach. Success obtained by using circular staplers in the treatment of internal prolapses, associated or not with haemorroids or obstructed defecation, may represent a new method of choice if applied wit...

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Surgical Treatment of Rectal Prolapse

Rectal prolapse is defined as a protrusion of the rectum beyond the anus. Although rectal prolapse was recognized as early as 1500 BC, the optimal surgical procedure is still debated. The varied operative procedures available for treating rectal prolapsed can be confusing. The aim of treatment is to control the prolapse, restore continence, and prevent constipation or impaired evacuation. In el...

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Changing approaches to rectal prolapse repair in the elderly

AIM The abdominal approach to rectal prolapse is associated with lower rates of recurrence but a higher chance of complications and has been traditionally reserved for younger patients. However, longer life expectancy and wider use of laparoscopic techniques necessitates another look at the abdominal approach in older patients. METHODS This was a retrospective review of data from patients und...

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Complete rectal prolapse in the elderly: systematic review of surgical treatment

Background Complete rectal prolapse is a disease characterized by the complete protrusion of rectal wall through the anus. This disability affects mostly elderly women (>65 years). Several surgical techniques have been described for the treatment of this condition with both perineal and abdominal approach. Under trial condition none of them have been demonstrated to be the best choice in terms ...

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Rectal Prolapse

Risk factors Increased intra-abdominal pressure eg, constipation, diarrhoea, benign prostatic hypertrophy, pregnancy, severe or chronic cough (eg, chronic obstructive pulmonary disease, cystic fibrosis, whooping cough). [4] Previous surgery. [5] Pelvic floor dysfunction. [6] Parasitic infections eg, amoebiasis, schistosomiasis. [7] Neurological disease eg, previous lower back or pelvic trauma, ...

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ژورنال

عنوان ژورنال: BMC Geriatrics

سال: 2011

ISSN: 1471-2318

DOI: 10.1186/1471-2318-11-s1-a50