Rectocele repair with stapled transvaginal rectal resection

Conclusions Vaginal repair carries no risk of fecal incontinence. Large anterior rectocele is considered the main indication for this technique. Using the linear stapler is a cost-effective, simple, and easy technique.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research

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ConclusionsIn conclusion, RVMR presents good long-term functional result and a recurrence rate similar to LVMR as published in the literature. The rate of mesh related complications seems lower.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
WASHINGTON (AP) — U.S. health regulators on Tuesday halted sales of a type of surgical mesh used to repair pelvic conditions in women, following years of patients’ reports of injuries and complications from the implants. The Food and Drug Administration ordered the two remaining makers of the mesh — Boston Scientific and Coloplast — to stop selling it immediately, saying the companies failed to show the mesh is safe for long-term use. Several other major manufacturers, including Johnson &Johnson, previously stopped making the mesh. The FDA action does not apply to surgical mesh used to treat oth...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Boston Scientific FDA Source Type: news
Abstract Pelvic floor dysfunctions are a complex condition in elderly women; pelvic organ prolapse, urinary or fecal incontinence, constipation, pelvic pain, and sexual dysfunction are common problems. The goal of surgical treatment is functional reconstruction with symptom management and repair of anatomic defects. The recent advancements in surgical treatment of pelvic floor dysfunction allow several good options for choosing the best surgery for each patient. The vaginal procedure is traditionally the gold standard approach for elderly patients, but abdominal surgery is increasing as a mini-invasive approach an...
Source: Climacteric - Category: Geriatrics Authors: Tags: Climacteric Source Type: research
ConclusionAdults with inadequately repaired rectovestibular fistulas whose initial surgical management specifically targets resection of the proximal rectum and creation of a permanent end colostomy are rare. Their management is a challenge, especially in resource-limited environments. When the anorectal malformation is of a favourable type, appropriate investigation coupled with meticulous surgical planning of the definitive repair may yield excellent outcomes.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
We present three case studies illustrating various clinical presentations of incontinence with loose stools, along with dietary and pharmacologic management strategies and a treatment algorithm. Children who soil with loose stools can achieve social continence using a combination approach using toileting supports, diet manipulation, fiber supplementation, medications, and small-volume enemas.
Source: Journal of Pediatric Surgical Nursing - Category: Nursing Tags: Feature Article Source Type: research
Conclusions Uterosacral ligament suspension is a safe and effective procedure in primary surgical treatment of pelvic organ prolapse. Anatomical, functional, and subjective outcomes were very satisfactory, and reoperation rate for recurrence was only 1%.
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
Conclusions This method can reduce costs, improve quality of life for older women, and potentially reduce admissions to nursing homes. Patient summary This paper introduces a new way of thinking. Many bladder and bowel symptoms not considered curable via existing methods may be caused by loose pelvic ligaments, and thus are potentially curable by reinforcing the ligaments. These symptoms include an inability to hold on to the bladder (urge incontinence), going frequently to pass urine during the day (frequency), getting up at night to pass urine (nocturia), involuntary soiling from the bowel, and chronic pelvic pain. These...
Source: European Urology Supplements - Category: Urology & Nephrology Source Type: research
ConclusionAdding LIS to TPR of type I rectocele achieved better clinical improvement than TPR alone. The only drawback of LIS was the development of a minor degree of FI, which was temporary in duration.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
Clinics in Colon and Rectal Surgery 2017; 30: 057-062 DOI: 10.1055/s-0036-1593426Rectal prolapse is a debilitating condition with a complex etiology. Symptoms are most commonly prolapse of the rectum and pain with bowel movements or straining, with worsening fecal incontinence over time due to progressive stretching of the anal sphincters. Physical findings are fairly consistent from patient to patient—most notably diastasis of the levator ani muscles, deep pouch of Douglas, redundant sigmoid colon, a mobile mesorectum, and occasionally a solitary rectal ulcer. Evaluation includes a physical exam or imaging demonstra...
Source: Clinics in Colon and Rectal Surgery - Category: Surgery Authors: Tags: Review Article Source Type: research
Clinics in Colon and Rectal Surgery 2016; 29: 271-276 DOI: 10.1055/s-0036-1584505Rectal prolapse is associated with debilitating symptoms and leads to both functional impairment and anatomic distortion. Symptoms include rectal bulge, mucous drainage, bleeding, incontinence, constipation, tenesmus, as well as discomfort, pressure, and pain. The only cure is surgical. The optimal surgical repair is not yet defined though laparoscopic rectopexy with mesh is emerging as a more durable approach. The chosen approach should be individually tailored, taking into account factors such as presence of pelvic floor defects and coexiste...
Source: Clinics in Colon and Rectal Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research
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