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Clin Colon Rectal Surg 2017; 30(01): 012-015
DOI: 10.1055/s-0036-1593432
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Perineal Approaches to Rectal Prolapse

Louis R. Barfield
1   Baton Rouge Colon and Rectal Associates, Our Lady of the Lake Physicians Group, Baton Rouge, Louisiana
2   Department of Surgery, LSUHSC, New Orleans, Louisiana
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Publication History

Publication Date:
22 December 2016 (online)

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Abstract

Full-thickness rectal prolapse is a painful and debilitating condition that often responds well to surgical intervention. The best method of surgical repair is a matter of debate. Historically, perineal approaches have been thought to have inferior outcomes and were therefore reserved for elderly and unfit patients. Despite recent data calling that into question, perineal approaches are still commonly performed and have their role. We present risks and benefits along with a description of perineal approaches for surgical treatment of rectal prolapse.

Keywords

rectal prolapse - Altemeier - rectosigmoidectomy - Delorme - Thiersch
 

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