The pathophysiology of external rectal prolapse is still uncertain, and its clinical and instrumental diagnostic assessment as well as the appropriate surgical or medical approach need to be clarified. The relative rarity of this pathology prevents randomised, controlled trials from being carried out in a single institution and the opinions of outstanding leaders in this field are therefore particularly important. With this collaborative, multiauthor work, the editors fulfil that requirement by drawing together the experience of highly recognised national and international professionals. The volume contains extensive and valuable information regarding preferred methods of evaluating patients with rectal prolapse: its underlying aetiology and pathophysiology, the different treatment methods (both surgical and nonsurgical), the expected functional results following surgery and the management of complex clinical presentations associated with this condition. The text is augmented with exceptional illustrations, including both high-quality, operative colour photographs and line drawings, which demonstrate clearly the relevant stages of the procedure being discussed. This volume is a unique publication that covers all aspects of the condition and will be a valuable resource for surgeons, gastroenterologists, radiologists and other practitioners involved in the management of this disorder.
Written for: Colorectal surgeons, general surgeons, proctologists, geriatrics, gastroenterologists
- Chronic constipation
- Fecal incontinence
Table of contents
1 Perineum: Functional Anatomy.- 2 Rectal Prolapse: Pathophysiology.- 3 Functional Imaging in Rectal Prolapse.- 4 An Overview of Neurophysiologic Tests in Rectal Prolapse.- 5 Classification of Internal and External Rectal Prolapse.- 6 Rehabilitative Treatment for Internal Rectal Prolapse.- 7 Treatment of Internal Rectal Prolapse by Rectopexy.- 8 Treatment of Rectal Intussusception by Internal Delorme Procedure.- 9 The STARR Procedure for Internal Rectal Prolapse.- 10 The EXPRESS Procedure for Internal Rectal Prolapse.- 11 Perineal Approach to External Rectal Prolapse: The Delorme’s Procedure.- 12 Perineal Approach to External Rectal Prolapse: The Altemeier Procedure.- 13 Surgery for Rectal Prolapse: Functional Outcome from Perineal Approach – An Overview.- 14 Surgical Treatment of Rectal Prolapse: Rectopexy without Mesh.- 15 Mesh Rectopexy: Wells Technique.- 16 Rectopexy with Mesh According to Ripsteins Technique.- 17 Rectopexy with Mesh: The Orr-Loygue Technique.- 18 Rectopexy According to Frikman-Goldberg technique.- 19 Laparoscopic Ventral Rectocolpopexy for Complex Rectogenital Prolapse.- 20 Management of Rectal Prolapse: The Role of Laparoscopic Approaches.- 21 Surgery for Rectal Prolapse: Functional outcome from Abdominal Approach - An Overview.- 22 Surgery for Rectal Prolapse: General Criteria for the Selection of the Best Treatment.- 23 The Management of Recurrent Rectal Prolapse.- 24 The Management of Associated Pelvic Dysfunctions: External Rectal Prolapse and Faecal Incontinence.- 25 The Management of Associated Pelvic Dysfunctions: External Rectal Prolapse and Genital Prolapse.- 26 Management Guidelines fo Full-thickness rectal prolapse.- Subject Index