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Longitudinal plication - a surgical strategy for complete rectal prolapse management

BACKGROUND: Rectal prolapse is a known problem since antiquity and the cause is not fully understood. Despite the presence of more than 100 lines of treatment, none of them is ideal. METHODS: Between the years of (2005–2011), thirty patients with full-thickness rectal prolapse were operated upon. Ag...

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Autores principales: Qaradaghy, Seerwan HS, Hawramy, Taher AH, Nore, Beston F, Abdullah, Karwan H-A, Muhammad, Rooshad A, Zangana, Mustafa OM, Saleh, Jabar M, Ismael, Diyaree N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3994363/
https://www.ncbi.nlm.nih.gov/pubmed/24655367
http://dx.doi.org/10.1186/1471-2482-14-17
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author Qaradaghy, Seerwan HS
Hawramy, Taher AH
Nore, Beston F
Abdullah, Karwan H-A
Muhammad, Rooshad A
Zangana, Mustafa OM
Saleh, Jabar M
Ismael, Diyaree N
author_facet Qaradaghy, Seerwan HS
Hawramy, Taher AH
Nore, Beston F
Abdullah, Karwan H-A
Muhammad, Rooshad A
Zangana, Mustafa OM
Saleh, Jabar M
Ismael, Diyaree N
author_sort Qaradaghy, Seerwan HS
collection PubMed
description BACKGROUND: Rectal prolapse is a known problem since antiquity and the cause is not fully understood. Despite the presence of more than 100 lines of treatment, none of them is ideal. METHODS: Between the years of (2005–2011), thirty patients with full-thickness rectal prolapse were operated upon. Age ranged between (2–65 years) with a mean of 21.5 year. Male to female ratio was (2:1). Each prolapsed rectum was repaired with longitudinal plication (LP) at two or three points accordingly using braded polyglycolic acid – absorbable 1.0 suture material. Plications started by inserting a stitch at the most proximal part of the prolapse, followed by successive similar transverse stiches continuing in a spiral fashion till the mucocutaneous junction. We used three LP in adults and two in children. All of the patients where operated upon as a day-case procedure and discharged 6 hours after the operation. RESULTS: In this series of patients, twenty-nine of them had complete recovery from the prolapse. Only one patient had recurrence 2 years after the operation, and the same procedure was applied successfully with uneventful post-operative period. Although twenty-three patients had fecal Incontinence, twenty-one of them regained continence after operation. CONCLUSIONS: This method is an easy perineal procedure, with fewer complications. It can be performed for all age groups, in an ordinary surgical unit, by an expert anorectal surgeon. We found that our procedure is simple, safe and less invasive.
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spelling pubmed-39943632014-04-23 Longitudinal plication - a surgical strategy for complete rectal prolapse management Qaradaghy, Seerwan HS Hawramy, Taher AH Nore, Beston F Abdullah, Karwan H-A Muhammad, Rooshad A Zangana, Mustafa OM Saleh, Jabar M Ismael, Diyaree N BMC Surg Research Article BACKGROUND: Rectal prolapse is a known problem since antiquity and the cause is not fully understood. Despite the presence of more than 100 lines of treatment, none of them is ideal. METHODS: Between the years of (2005–2011), thirty patients with full-thickness rectal prolapse were operated upon. Age ranged between (2–65 years) with a mean of 21.5 year. Male to female ratio was (2:1). Each prolapsed rectum was repaired with longitudinal plication (LP) at two or three points accordingly using braded polyglycolic acid – absorbable 1.0 suture material. Plications started by inserting a stitch at the most proximal part of the prolapse, followed by successive similar transverse stiches continuing in a spiral fashion till the mucocutaneous junction. We used three LP in adults and two in children. All of the patients where operated upon as a day-case procedure and discharged 6 hours after the operation. RESULTS: In this series of patients, twenty-nine of them had complete recovery from the prolapse. Only one patient had recurrence 2 years after the operation, and the same procedure was applied successfully with uneventful post-operative period. Although twenty-three patients had fecal Incontinence, twenty-one of them regained continence after operation. CONCLUSIONS: This method is an easy perineal procedure, with fewer complications. It can be performed for all age groups, in an ordinary surgical unit, by an expert anorectal surgeon. We found that our procedure is simple, safe and less invasive. BioMed Central 2014-03-24 /pmc/articles/PMC3994363/ /pubmed/24655367 http://dx.doi.org/10.1186/1471-2482-14-17 Text en Copyright © 2014 Qaradaghy et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Qaradaghy, Seerwan HS
Hawramy, Taher AH
Nore, Beston F
Abdullah, Karwan H-A
Muhammad, Rooshad A
Zangana, Mustafa OM
Saleh, Jabar M
Ismael, Diyaree N
Longitudinal plication - a surgical strategy for complete rectal prolapse management
title Longitudinal plication - a surgical strategy for complete rectal prolapse management
title_full Longitudinal plication - a surgical strategy for complete rectal prolapse management
title_fullStr Longitudinal plication - a surgical strategy for complete rectal prolapse management
title_full_unstemmed Longitudinal plication - a surgical strategy for complete rectal prolapse management
title_short Longitudinal plication - a surgical strategy for complete rectal prolapse management
title_sort longitudinal plication - a surgical strategy for complete rectal prolapse management
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3994363/
https://www.ncbi.nlm.nih.gov/pubmed/24655367
http://dx.doi.org/10.1186/1471-2482-14-17
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