Erschienen in:
21.09.2017 | Video Forum
Perineal rectosigmoidectomy combined with TAMIS rectopexy: a NOTES operation for rectal procidentia
verfasst von:
A. Althoff, R. Rowen, M. Dakermandji, J. Kelly, S. Atallah
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 10/2017
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Excerpt
Perineal rectosigmoidectomy (PRS) is one of the most antiquated of all natural orifice operations [
1] and has an established history [
2]. The appeal of this technique for the repair of rectal prolapse has undergone a rebirth as colorectal surgeons have realized the value of completely avoiding abdominal access trauma [
3]. A perceived high rate of recurrent prolapse has pigeonholed this approach as one for the elderly and infirm patients who are otherwise unfit to undergo abdominal surgery. Interestingly, however, this has not been validated in clinical studies as the PORSPER trial (2013) [
4], and two Cochrane database reviews conducted in 1999 [
5] and in 2008 [
6] demonstrated no discernible difference in rectal prolapse recurrence rates regardless of the surgical approach utilized. In fact, some experts believe PRS could be a rectal prolapse operation for all ages [
7]. …
