Update zur Therapie des externen Rektumprolapses

详细信息    查看全文

• 作者：PD Dr. F. Aigner ; R. Scherer ; C. Isbert ; T. Schiedeck
• 关键词：SchlüsselwörterRektum ; Interdisziplinäre Kommunikation ; Minimal ; invasive Chirurgie ; Netzimplantat ; Rezidiv
• 刊名：coloproctology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：38
• 期：6
• 页码：399-411
• 全文大小：
• 刊物主题：Proctology; Colorectal Surgery; Dermatology; Urology; Abdominal Surgery; Oncology;
• 出版者：Springer Medizin
• ISSN：1615-6730
• 卷排序：38

文摘

Treatment of full thickness rectal prolapse lies in the hands of colorectal surgeons and still represents a special interdisciplinary challenge due to the close proximity to other urogenital compartments of the pelvic floor and simultaneous functional disorders. For this purpose, abdominal and perineal surgical techniques with appropriate modifications are available. In a comparison of the various techniques and approaches primary endpoints, such as recurrence rate, improvement of fecal incontinence and constipation are not significantly different between the many studies. A clear recommendation or preference for an appropriate treatment and approach cannot be given even in this update because of the heterogeneous evidence level of studies. However, minimally invasive techniques for the perineal and abdominal approaches seem to result in faster recovery, shorter hospital stay and reduction of postoperative pain and raise hopes for further developments with respect to anatomical reconstruction of the pelvic floor.