Mucosal prolapseDefecationThickness of the rectal wallFull thicknessRectoceleRectumHemorrhoidsLaparoscopicColonHemorrhoidalAnal canalConstipationBowelProcedurePerinealPilesInflammatorySurgeryPosteriorDemonstrated in 94SyndromeSphincterHerniaAbdominalPatientsAdultUnderstoodClinicalOccurTreatmentCommonAnteriorDigitalRepairLiterature
Mucosal prolapse12
- Many sources differentiate between internal rectal intussusception and mucosal prolapse, implying that the former is a full thickness prolapse of rectal wall. (wikipedia.org)
- This may signify that authors use the terms internal rectal prolapse and internal mucosal prolapse to describe the same phenomena. (wikipedia.org)
- Mucosal prolapse (partial rectal mucosal prolapse) refers to prolapse of the loosening of the submucosal attachments to the muscularis propria of the distal rectummucosal layer of the rectal wall. (wikipedia.org)
- Most sources define mucosal prolapse as an external, segmental prolapse which is easily confused with prolapsed (3rd or 4th degree) hemorrhoids (piles). (wikipedia.org)
- However, both internal mucosal prolapse (see below) and circumferential mucosal prolapse are described by some. (wikipedia.org)
- Others do not consider mucosal prolapse a true form of rectal prolapse. (wikipedia.org)
- Internal mucosal prolapse (rectal internal mucosal prolapse, RIMP) refers to prolapse of the mucosal layer of the rectal wall which does not protrude externally. (wikipedia.org)
- Mucosal prolapse syndrome (MPS) is recognized by some. (wikipedia.org)
- Mucosal prolapse, in contrast, is defined as protrusion of only the rectal mucosa (not the entire wall) from the anus. (medscape.com)
- The pathophysiology and etiology of mucosal prolapse most likely differ from those of full-thickness rectal prolapse and internal intussusception. (medscape.com)
- [ 2 ] Mucosal prolapse occurs when the connective tissue attachments of the rectal mucosa are loosened and stretched, thus allowing the tissue to prolapse through the anus. (medscape.com)
- He then developed a customized surgical technique for the treatment of obstructive defecation syndrome with rectocele, rectal mucosal prolapse and rectoanal intussusception, which he performs transanally under local anesthesia (unique in Europe) and at early discharge. (gsdinternational.com)
Defecation6
- Rectal prolapse may occur without any symptoms, but depending upon the nature of the prolapse there may be mucous discharge (mucus coming from the anus), rectal bleeding, degrees of fecal incontinence, and obstructed defecation symptoms. (wikipedia.org)
- Internal rectal intussusception (occult rectal prolapse, internal procidentia) can be defined as a funnel shaped infolding of the upper rectal (or lower sigmoid) wall that can occur during defecation. (wikipedia.org)
- The most common presentation of hemorrhoids is painless rectal bleeding during defecation with or without prolapsing anal tissue. (hemorrhoidstalk.com)
- As many as 50% of prolapse cases are caused by chronic straining with defecation and constipation. (medscape.com)
- RESULTS: MRD can provide relevant findings in the diagnosis of fecal incontinence and obstructed defecation syndrome, particularly in cases of pelvic floor descent, enterocele, intussusception, and pelvic floor dyssynergia. (bvsalud.org)
- Introduction: Laparoscopic ventral mesh rectopexy (VMR) is a popular treatment for symptoms of obstructive defecation in patients suffering with rectal prolapse and rectorectal intussusception. (sath.nhs.uk)
Thickness of the rectal wall1
- However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved. (wikipedia.org)
Full thickness6
- External (complete) rectal prolapse (rectal procidentia, full thickness rectal prolapse, external rectal prolapse) is a full thickness, circumferential, true intussusception of the rectal wall which protrudes from the anus and is visible externally. (wikipedia.org)
- Rectal prolapse occurs when a mucosal or full-thickness layer of rectal tissue protrudes through the anal orifice. (medscape.com)
- Internal intussusception may be a full-thickness or a partial rectal wall disorder, but the prolapsed tissue does not pass beyond the anal canal and does not pass out of the anus. (medscape.com)
- Most of this article focuses on full-thickness rectal prolapse, which will be referred to as rectal prolapse. (medscape.com)
- With time and straining, this progresses to full-thickness rectal prolapse, though some patients never progress beyond this stage. (medscape.com)
- Complete rectal prolapse (CRP) is defined as the circumferential and full-thickness protrusion of the rectum out of the anal verge. (thieme-connect.de)
Rectocele1
- Nineteen of the patients had external prolapse and 81 had functional bowel symptoms with internal prolapse (rectocele and/or intussusception) as demonstrated on proctography. (sath.nhs.uk)
Rectum10
- A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. (wikipedia.org)
- Rectal prolapse and internal rectal intussusception has been classified according to the size of the prolapsed section of rectum, a function of rectal mobility from the sacrum and infolding of the rectum. (wikipedia.org)
- The internal anal sphincter is a smooth muscle that is the most distal extension of the inner circular smooth muscle of the colon and the rectum. (medscape.com)
- The second theory holds that rectal prolapse starts as a circumferential internal intussusception of the rectum beginning 6-8 cm proximal to the anal verge. (medscape.com)
- Whether these anatomic features are the cause or result of the prolapsing rectum is not known. (medscape.com)
- In children, rectal prolapse is probably related to the vertical orientation of the rectum, the mobility of the sigmoid colon, the relative weakness of the pelvic floor muscle, mucosa that is poorly fixed to submucosa, and redundant rectal mucosa. (medscape.com)
- Constipation is responsible for putting or enhancing the pressure on rectum and finally results in the torturous rectal veins. (drvikram.com)
- Colon carcinoma or colorectal cancer or bowel cancer or rectal cancer, is any growth, lump, tumor of the colon and the rectum. (laparoscopicsolutions.in)
- Concise yet comprehensive, The ASCRS Manual of Colon and Rectal Surgery, Second Edition is very useful for physicians and researchers dealing with diseases of the colon and rectum. (nshealth.ca)
- Gastroenterologists perform colonoscopies and sigmoidoscopies for screening, detection, and removal of precancerous polyps in the colon and rectum, contributing to the prevention and early treatment of colorectal cancer. (dravinashtank.in)
Hemorrhoids5
- Hemorrhoids and pinworms can have similar symptoms regarding itching, and the pulsing of the blood vessels associated with internal hemorrhoids can also have the same sensation as pinworms. (hemorrhoidstalk.com)
- specializes in the surgical treatment of colorectal and rectal diseases, including endoscopic surgery such as colon cancer and hemorrhoids surgery. (hemorrhoidstalk.com)
- Patients with complicated hemorrhoids such as acutely thrombosed external hemorrhoids and strangulated internal hemorrhoids may present with anal pain and lump at the anal verge. (hemorrhoidstalk.com)
- A precise history and thorough physical examination, including digital rectal examination and anoscopy, are imperative for the diagnosis of hemorrhoids. (hemorrhoidstalk.com)
- Unless bright red blood is clearly seen from hemorrhoids, any patients with rectal bleeding should be scheduled for flexible sigmoidoscopy or colonoscopy, especially those being at risk of colorectal cancer. (hemorrhoidstalk.com)
Laparoscopic5
- A laparoscopic approach to rectal prolapse repair has become increasingly popular. (medscape.com)
- In the era of minimal access surgery, minimally invasive laparoscopic rectopexy has become a popular treatment option for patients with rectal prolapse (RP). (thieme-connect.de)
- We studied cases of RP who underwent laparoscopic posterior mesh rectopexy during the past 15 years (2005-2021), in our institution, operated upon by a single surgeon. (thieme-connect.de)
- WP24: C-reactive protein monitoring reduce length of stay after stoma reversal in patients with laparoscopic sphincter-saving surgery for rectal cancer. (eu.com)
- Laparoscopic colorectal surgery for colon cancer is performed under general anaesthesia through 3 to 5 small incisions in the abdominal wall. (laparoscopicsolutions.in)
Colon8
- However, a publication by the American Society of Colon and Rectal Surgeons stated that internal rectal intussusception involved the mucosal and submucosal layers separating from the underlying muscularis mucosa layer attachments, resulting in the separated portion of rectal lining "sliding" down. (wikipedia.org)
- After receiving his medical degree from the Autonomous University of Guadalajara in Mexico, he completed a research fellowship, general surgery residency and colon and rectal surgery fellowship at the University of Minnesota. (umn.edu)
- Gaertner, W. B. "Consultants corner: difficult colorectal cancer cases - tumor board", University of Minnesota principles of colon and rectal surgery course, Minneapolis, Minnesota, United States. (umn.edu)
- Gaertner, W. B. "Total neoadjuvant therapy for rectal cancer", University of Minnesota principles of colon and rectal surgery course, Minneapolis, Minnesota, United States. (umn.edu)
- Gaertner, W. B. "The complex and refractory pilonidal", University of Minnesota principles of colon and rectal surgery course, Minneapolis, Minnesota, United States. (umn.edu)
- Gaertner, W. B. "Ostomies and stomal therapy", Annual meeting of the American Society of Colon and Rectal Surgeons, Nashville, Tennessee, United States. (umn.edu)
- The ASCRS Manual of Colon and Rectal Surgery, Second Edition is designed to provide a rapid access pocket reference for residents, fellows, private clinicians, and allied health professionals caring for patients with colorectal surgical diseases. (nshealth.ca)
- The Manual, abstracted from the ASCRS Textbook of Colon and Rectal Surgery, Second Edition, is intended to impart succinct, clinically relevant information for daily patient care. (nshealth.ca)
Hemorrhoidal1
- The term "mucosal hemorrhoidal prolapse" is also used. (wikipedia.org)
Anal canal1
- It describes ulceration of the rectal lining caused by repeated frictional damage as the internal intussusception is forced into the anal canal during straining. (wikipedia.org)
Constipation1
- Can Constipation Cause Internal Damage? (charmemedical.com)
Bowel4
- and his clinical expertise includes colorectal oncology, inflammatory bowel disease, and minimally invasive approaches to colorectal diseases. (umn.edu)
- Gaertner, W. B. "Video abstract session (small bowel & colorectal). (umn.edu)
- If the prolapse cannot be reduced and the viability of the bowel is in question, emergency resection is required. (medscape.com)
- Common factors that lead to bowel incontinence are an injury to rectal, anal, or nerve tissue from trauma, childbirth, radiation , or surgery . (nurseslabs.com)
Procedure1
- Most external prolapse cases can be treated successfully, often with a surgical procedure. (wikipedia.org)
Perineal4
- Perineal rectosigmoidectomy for rectal prolapse. (medscape.com)
- Surgical treatments can be divided into two categories according to the approach used to repair the rectal prolapse: abdominal procedures and perineal procedures. (medscape.com)
- It should be noted, however, that many surgeons with copious experience and low recurrence rates also advocate perineal procedures for their younger, healthier patients. (medscape.com)
- Background Trans-abdominal rectopexy for complete rectal prolapse (CRP) reportedly yields more definitive results as compared with trans-perineal surgery. (thieme-connect.de)
Piles4
- There are two types of the piles according to modern: External Piles and internal Piles. (drvikram.com)
- On the other hand the internal piles are the ones which are above the dentate line and can prolapse. (drvikram.com)
- Their prolapse is understood in degrees and these types of piles are painless but can bleed. (drvikram.com)
- That's how internal and external piles develop in an individual. (drvikram.com)
Inflammatory1
- It includes solitary rectal ulcer syndrome, rectal prolapse, proctitis cystica profunda, and inflammatory polyps. (wikipedia.org)
Surgery9
- Internal prolapses are traditionally harder to treat and surgery may not be suitable for many patients. (wikipedia.org)
- Which repair constitutes the best treatment is the main controversy in surgery for rectal prolapse. (medscape.com)
- Contraindications for surgical correction of rectal prolapse are based on the patient's comorbidities and his or her ability to tolerate surgery. (medscape.com)
- Certain anatomic features found during surgery for rectal prolapse are common to most patients. (medscape.com)
- Recently, minimally invasive surgery for rectal prolapse (RP) repairs has gained wide acceptance because of advantages like relatively easier and magnified access to the pelvic recess and floor, decreased operative pain, faster recovery, and early discharge. (thieme-connect.de)
- WP01: What is the functional result of a delayed colo-anal anastomosis in rectal redo-surgery? (eu.com)
- WP31: Does the use of intraoperative fluorescence imaging with indocyanin green (ICG) reduce the rate of anastomotic leakage after colorectal surgery? (eu.com)
- Dr. Riccardo Annibali is the coordinator of the Department of Coloproctology "Milano Nord" (UCP) under the auspices of the Italian Society of Colorectal Surgery, based in Casa di Cura La Madonnina. (gsdinternational.com)
- Winner of 5 national and international awards, such as the Young Investigator Award at the XXIII World Congress of the International College of Surgeons in 1990 and the Fellowship of the Ministry of Foreign Affairs and the Swedish Institute for being a researcher in colorectal surgery at the Clinica Chirurgica II of the University of Gothenburg in 1992. (gsdinternational.com)
Posterior1
- These features include a patulous or weak anal sphincter with levator diastasis, deep anterior Douglas cul-de-sac, poor posterior rectal fixation with a long rectal mesentery, and redundant rectosigmoid. (medscape.com)
Demonstrated in 941
- SRUS can be considered a consequence of internal intussusception, which can be demonstrated in 94% of cases. (wikipedia.org)
Syndrome1
- Solitary rectal ulcer syndrome (SRUS, solitary rectal ulcer, SRU) occurs with internal rectal intussusception and is part of the spectrum of rectal prolapse conditions. (wikipedia.org)
Sphincter1
- The internal sphincter is not under voluntary control and is continuously contracted to prevent unplanned loss of stool. (medscape.com)
Hernia1
- The first theory postulates that rectal prolapse is a sliding hernia through a defect in the pelvic fascia. (medscape.com)
Abdominal1
- This approach has intensified the controversy because it has decreased the morbidity of the abdominal approach to rectal prolapse in appropriate candidates. (medscape.com)
Patients7
- A significant number of stoma prolapse patients require surgical correction. (scirp.org)
- Results: Patients evaluation at OUS-R - From 2001 to 2013, 14 of the 304 children with stoma (4.6%), experienced stoma prolapse. (scirp.org)
- Nine stoma prolapse were surgically corrected: Median age at stoma formation for the 9 patients was 1.7 years. (scirp.org)
- Incidence of stoma prolapse in our series of pediatric patients at Oslo University Hospital is lower than most published incidence in the pediatric medical literature. (scirp.org)
- Surgical therapy for internal prolapse is usually avoided because results are poor, with durable relief of symptoms occurring in fewer than 50% of patients. (medscape.com)
- All the patients were operated upon by a single surgeon. (thieme-connect.de)
- This book provides a valuable resource for surgeons and health care providers who care for patients with colorectal disease at all stages of their careers. (nshealth.ca)
Adult1
- GIST as a lead point in adult intussusception: Study in a tertiary Hospital Journal of Shaheed Suhrawardy Medical College. (bdspecializedhospital.com)
Understood1
- The pathophysiology of rectal prolapse is not completely understood or agreed upon. (medscape.com)
Clinical1
- Supportive care should be provided according to the clinical picture, particularly in the presence of an irreducible prolapse and with gangrene or rupture of the rectal mucosa. (medscape.com)
Occur2
- Rectal prolapse is generally more common in elderly women, although it may occur at any age and in either sex. (wikipedia.org)
- Even with a careful and proper technique stoma prolapse do occur. (scirp.org)
Treatment3
- When improperly formed a stoma may result in a complication such as prolapse, which can undermine or delay the treatment of these conditions. (scirp.org)
- Although no medical treatment is available for rectal prolapse, internal prolapse should always be first treated medically with bulking agents, stool softeners, and suppositories or enemas. (medscape.com)
- In cases of uncomplicated rectal prolapse, arrange surgical follow-up care for further evaluation and definitive treatment. (medscape.com)
Common2
- Stoma prolapse is one of the common complications of stoma. (scirp.org)
- [ 2 ] in ambulatory centers and a common cause for referral to gastroenterologists and colorectal surgeons. (medscape.com)
Anterior1
- Often, prolapse begins with an internal prolapse of the anterior rectal wall and progresses to full prolapse. (medscape.com)
Digital1
- it can be best divided into four steps: inspection, anal wink reflex, digital rectal exam, and assessing the anal muscle tone. (nurseslabs.com)