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2011, Number 3

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Rev Hosp Jua Mex 2011; 78 (3)

Prolapso rectal en el paciente senil: opciones de tratamiento quirúrgico

Rodríguez-Wong U, Rebollar GRC, Farías MAM

Language: Spanish
References: 40
Page: 174-178
PDF size: 121.89 Kb.


ABSTRACT

There are a variety of surgical alternatives for treatment of rectal prolapse. The ideal surgical procedure should be minimally invasive, have a low morbidity and no mortality, on the other hand, the functional results should be excellent, without recurrence, improving continence and preventing constipation. The abdominal approach is most appropriate for young patients, rectopexy, with or without resection, is the most used. The use of mesh or sutures appear to have similar results. Currently laparoscopic surgery shows similar efficacy to conventional surgery. The perineal approach is the best option for older patients or those with high surgical risk, the Delorme technique is the simplest to make, but the perineal rectosigmoidectomy has better results. In this paper the most common alternatives of surgical treatment are described analyzing their advantages and disadvantages.


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