Rectal Prolapse Surgery

rectal-prolapse
A rectal prolapsed surgery is a reconstructive surgery that is useful in treating a case of protruding and stretched rectum. A rectal prolapsed occurs when the last portion of the large intestine (rectum) becomes abnormally stretched and is seen protruding from the anus. This surgical procedure is used to shift the protruding rectum back in its original position.

The rectal prolapse surgery can be performed using several different approaches and the surgeon/specialist will determine the best and most efficient surgical treatment method required in your particular case based on several factors such as your overall health and physical fitness required for undergoing the surgery.

Why is a Rectal Prolapse Surgery required?

A rectal prolapsed surgery is performed for people afflicted with chronic conditions which include difficulty in pushing the rectum back to its original position, inability to control bowel movement, obstructed bowel movements as well as leakage of stool. This surgery is a common procedure required by elderly patients.

How is a Rectal Prolapse Surgery performed?

A rectal prolapsed surgery is performed under general anesthesia so as to prevent any kind of discomfort to the patient. This surgery requires the surgeon to use either the conventional open-type of surgery or to use the modern minimally invasive laparoscopic method. A conventional surgery method will require the surgeon to make a large incision along your abdomen or through the use of laparoscope inserted through the keyhole incisions in the abdomen or through the anus (perineum).

A number of factors are considered by the surgeon before deciding the best form of treatment necessary for your individual case including your overall health level, surgeon’s experience, etc.

These are the most common methods used to perform a rectal prolapse surgery:

Abdominal approach

This procedure is called rectopexy and involves the surgeon having to pull the rectum inside the body and holding it in place by attaching it to the tissue around the sacrum, which is a bony structure situated above your tailbone and just below your spine. The surgeon may fasten the rectum in place using sutures or medical-mesh sling which supports the reattached rectum.

A resection rectopexy may also be required in some cases which involves removing a portion of the colon through surgical methods.

A laparoscopic rectal prolapse surgery is performed using minimally invasive surgical method. This rectal prolapse surgery involves making fewer number of smaller (keyhole) incisions in the abdomen to access the prolapsed rectum. Tiny and flexible tubes (laparoscope) are inserted from these small incisions inside the abdominal cavity to get a better view of the surgical site through the laparoscope’s attached video camera. The other laparoscope tubes are used to then insert several specialized surgical instruments inside to perform the required surgical procedure.

Perineal rectosigmoidectomy

This is a surgical method for correcting a rectal prolapse case. This surgery requires removing a portion of the rectum and the sigmoid and reattaching the remaining rectum to the colon (large intestine). This surgical procedure is also known as ‘Altemeier surgery’.

The Delorme method for perineal rectal prolapse surgery is ideal for short prolapse cases. This surgery involves removing the lining of the rectum as well as folding the muscular layer to decrease the length of the rectum.

Several people affected with rectal prolapse are often seen being affected by a number of other disorders such as vaginal prolapse or pelvic organ prolapse and such cases require combining the rectal prolapse surgery with other respective surgical treatments for the particular related medical disorder.

Although the success rate of the treatment is not dependent mainly on the type of rectal prolapse surgery method used it is more dependent on your cases severity as well as your surgeon’s experience.

What are the risks and complications associated with Rectal Prolapse Surgery?

The rectal prolapse surgery has surgical-aspect risks such as seen in any type of major surgery. These can be:

  • Bleeding
  • Bowel obstruction
  • Organ damage
  • Nerve damage
  • Infection
  • Anesthesia allergy
  • Fistula
  • Prolapse recurrence
  • Worsened constipation

Although there is always a chance of these commonly seen risks occurring the surgeon/doctor will take every possible precaution to prevent these risks from occurring.

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