rectal prolapse repair…

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, rectal prolapse repair, this procedure is surgery, repair a rectal prolapse, protrusion, the rectum, last part, the colon, the anus, rectal prolapse partial, involving only the mucosa, complete, involving the entire wall, the rectum, occur in children but is much more common in older individuals, rectal prolapse in infants often gets better on its own, does not, require surgery, children, myelomeningocele, bladder exstrophy, children, cystic fibrosis, particularly at risk, rarely it, acute diarrhea, straining to pass stool constipated, rectal prolapse, common in older individuals, a long history of constipation, weakness, the pelvic floor muscles, more common in women, had a hysterectomy, symptoms of rectal prolapse include anorectal pain, bleeding, mucous discharge, anus, incontinence, patients, protrusion of rectal tissue having bowel movements, push it back in manually, confused, hemorrhoids but is actually quite different, surgery, surgery, rectal prolapse in adults, children, most surgical procedures, rectal prolapse, done under general anesthesia, older, sicker patients, options using epidural, spinal anesthesia, three basic surgical approaches, repair rectal prolapse, surgeon, decide which one is best suited to you, medically fit adults, an abdominal procedure has the best chance of success, the patient under general anesthesia, an abdominal incision is made, the colon is removed, rectum sutured, surrounding tissue, a soft piece of mesh is wrapped around the rectum to help it stay in place, laparoscopic surgery, "keyhole", "telescopic" surgery, older adults, medical problems, an approach from below, perineal approach, might be less risky, the perineal procedure, likely to recur, the patient under general, epidural, spinal anesthesia, prolapsing rectum, colon, pelvic floor, perineum, either by removing a portion, the colon, suturing the rectum, surrounding tissues, very frail, sick patients considered, small procedure to reinforce the sphincter muscles by encircling them, a band of soft mesh, a silicone tube, approach provides only temporary improvement, rarely used, children, rectal prolapse, does not always, require surgical correction, infant prolapse often disappears, intervention, surgery, repair rectal prolapse is advised, children, continued rectal prolapse, does not improve over time, risks, anesthesia, reactions to medications, breathing problems, pneumonia, heart problems, surgery, bleeding, infection, additional risks, constipation is very common, most patients have constipation, the surgery, incontinence occurs in 10-20% of patients following surgery, an improvement over incontinence that is present, the surgery, small number of patients, incontinence, get worse, recurrence of prolapse occurs in 5-10% of abdominal repairs, 15-25% of perineal repairs, surgery, effective in repairing the prolapse, long-term prognosis is good, constipation, incontinence, a problem, patients, hospital time depends on the procedure used, average stay, open abdominal procedures is 5-8 days, shorter, laparoscopic surgery, average stay, perineal surgery, approach from below, 2-3 days, expect complete recovery in 4-6 weeks.