Concluded Case

Rectal prolapse

Complete rectal prolapse. 34 female with chronic history of constipation. Management guidelines for this patient???

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COMPLETE RECTAL PROLAPSE 1. Digital reduction in O.T setting of prolapse to be done gradually. 2.Once rectal prolapse is reduced definitive surgery is indicated. 3.As Patient is Young Abdominal approach of surgery is indicated. Options are 4. Laparoscopic rectopexy. 5 Anterior resection. 6.Marlex rectopexy. 7.Resection rectopexy- it is a combination of Anterior resection and marlex rectopexy
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Case of complete rectal prolapse.It is an emergency situation not to allow the prolapsed part of rectum to remain out side so manual reposition of prolapsed part to be done otherwise the may be swelling of the prolapsed part causing band constriction effect to cause more swelling. Management of rectal prolapsed It depends upon the surgeo and the physical condition of the pt .As it hsppens with older people physically may not be fit for major operation A by avoiding strain the passage of stool by giving laxative B For older physically weak.patient Surgical procedure (a) Thiersch's operation just reducing the anal opening by putting a circular stitch by prolene. (b ). Major operation for complete cure two approach may be made Abdominal Rectoprexy by olbiterating the recto vesical pouch and fixing the rectum with sacrum Perineal approach. Ideal is the procto sigmoidectomy C
Theirsch now being abondoned...constipation is invariable complication ..conservative and life style modification with stool softener and diet is enough and far better than thiersch ..constipation not only but also painful constipation..and pt is young .so we should go for...abdominioexy ..good result ..
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COMPLETE RECTAL PROLAPSE 1. Digital reduction in O.T setting of prolapse to be done gradually. 2.Once rectal prolapse is reduced definitive surgery is indicated. 3.As Patient is Young Abdominal approach of surgery is indicated. Options are 4. Laparoscopic rectopexy. 5 Anterior resection. 6.Marlex rectopexy. 7.Resection rectopexy- it is a combination of Anterior resection and marlex rectopexy
Grade four prolapsed rectum Subluxation or incompetent anal sphincter gives way to straining for defecation in constipated patients Replace rectum under spinal anaesthesia Anal sphincter tightening by theshis wiring if doesnt work than rectal pouch fixation with sacrum failing all sigmoidectomy
Thanx dr Kute Ankush
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Manual reduction using lignocaine gel.... Stool softeners to prevent constipation.. Rectopexy with or without mesh by rectal /laparoscopic approach needed...once the pt getting proper investigations.
IT'S A..CASE OF.. ? RECTAL PROLAPSE.. NEED'S.. * MANUAL REDUCTION.. * STOOL SOFTENERS.. * DIETARY FIBERS.. * SURGERY.. LAPROSCOPIC RECTOPEXY & COLPORRAHPY..
Tnx Dr Vipin Bihari Jain
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Complete recatal prolapse Reduce manually with lignocaine jelly. Adv - Abdominal Rectopaxy with mesh -STARR surgery may also good option -Thiersch wire
Push inside stool softner yoga will help not to strain at stool homeopathy podophylum chew 30 potency
Manual reposition using lignocain jelly Adv. -Thiersch's wiring -Rectopexy -Goodsall's ligation
A condition that occurs when part of the large intestine slips outside the anus. Rectal prolapse typically occurs in older women, but it can occur in men and women of any age. Risk factors include multiple births and vaginal delivery. Rectal prolapse can create an inability to control bowel movements, causing stool to leak from the rectum. The most common treatment for rectal prolapse is surgery to put the rectum back in place, and there are several types. The kind of surgery your doctor recommends will depend on factors such as your overall health, age, and how serious your condition is. Through the abdomen..andcRectal repair.
Laxative and/or purgative for constipation. Kegel exercise to strengthen pelvic floor muscles. As it is a complete or severe prolapse, surgical intervention will be fruitful. Experts advice will be beneficial.
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