Rectal Prolapse: Abdominal Approach

ABSTRACT

Even though there are over 100 procedures described for rectal prolapse, the approach toward surgery can be divided into the abdominal or perineal route. The abdominal approach offers distinct advantages. These advantages include a lower recurrence rate, preservation of a compliant rectum, ability to treat constipation more precisely, avoidance of anal stretch, and the ability to perform a precise anastomosis if required with an adequate blood supply. Therefore, with modern advances in postoperative care, most patients should be offered the abdominal approach due to its distinct advantages over the perineal approach.

KEYWORDS

Rectal prolapse - Ripstein - resection-rectopexy - constipation

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