Department of Surgery, Madigan Army Medical Center, 9040A Fitzsimmons Drive, Fort Lewis, WA 98431, USA.
Gastroenterol Clin North Am. 2013 Dec;42(4):837-61. doi: 10.1016/j.gtc.2013.08.002. Epub 2013 Nov 6.
Rectal prolapse continues to be problematic for both patients and surgeons alike, in part because of increased recurrence rates despite several well-described operations. Patients should be aware that although the prolapse will resolve with operative therapy, functional results may continue to be problematic. This article describes the recommended evaluation, role of adjunctive testing, and outcomes associated with both perineal and abdominal approaches.
直肠脱垂对患者和外科医生来说都是一个问题,部分原因是尽管有几种描述得很好的手术,但复发率仍在增加。患者应该意识到,虽然手术治疗可以解决脱垂问题,但功能结果可能仍然存在问题。本文描述了推荐的评估方法、辅助检查的作用以及会阴和腹部入路相关的结果。