Rectal prolapse: diagnosis and clinical management

Donato F. Altomare, Filippo Pucciani884700683X, 9788847006836

The pathophysiology of this disabling condition is still uncertain and its clinical and instrumental diagnostic assessment needs to be clarified. The appropriate surgical or medical approach is much debated and has never been definitively stated. The rarity of the condition prevents randomised controlled trials from being carried out in a single institution, so the opinions of outstanding leaders in this field are particularly important. This textbook addresses the best way of evaluating patients with rectal prolapse, the underlying pathophysiology, the different surgical approaches, the expected functional results after surgery and the management of complex clinical conditions associated with this condition.

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Table of contents :
THEZONE……Page 1
front-matter.pdf……Page 2
Section I.pdf……Page 12
1.01 Perineum- Functional Anatomy.pdf……Page 13
1.02 Rectal Prolapse- Pathophysiology.pdf……Page 22
1.03 Functional Imaging in Rectal Prolapse.pdf……Page 29
1.04 An Overview of Neurophysiologic Tests in Rectal Prolapse.pdf……Page 41
1.05 Classification of Internal and External Rectal Prolapse.pdf……Page 48
Section II.pdf……Page 57
2.06 Rehabilitative Treatment for Internal Rectal Prolapse.pdf……Page 58
2.07 Treatment of Internal Rectal Prolapse by Rectopexy.pdf……Page 62
2.08 Treatment of Rectal Intussusception by Internal Delorme Procedure.pdf……Page 68
2.09 The STARR Procedure for Internal Rectal Prolapse.pdf……Page 76
2.10 The EXPRESS Procedure for Internal Rectal Prolapse.pdf……Page 86
Section III.pdf……Page 92
3.11 Perineal Approach to External Rectal Prolapse-The Delorme Procedure.pdf……Page 93
3.12 Perineal Approach to External Rectal Prolapse- The Altemeier Procedure.pdf……Page 100
3.13 Surgery for Rectal Prolapse- Functional Outcome from the Perineal Approach — An Overview.pdf……Page 106
3.14 Surgical Treatment of Rectal Prolapse- Rectopexy without Mesh.pdf……Page 110
3.15 Mesh Rectopexy- The Wells Technique.pdf……Page 116
3.16 Rectopexy with Mesh According to the Ripstein Technique.pdf……Page 124
3.17 Rectopexy with Mesh- The Orr-Loygue Technique.pdf……Page 133
3.18 Rectopexy According to Frykman-Goldberg Technique.pdf……Page 140
3.19 Laparoscopic Ventral Rectocolpopexy for Complex Rectogenital Prolapse.pdf……Page 146
3.20 Management of Rectal Prolapse- The Role of Laparoscopic Approaches.pdf……Page 154
3.21 Surgery for Rectal Prolapse- Functional Outcome from the Abdominal Approach — An Overview.pdf……Page 158
3.22 The Management of Recurrent Rectal Prolapse.pdf……Page 169
3.23 Surgery for Rectal Prolapse- General Criteria for the Selection of the Best Treatment.pdf……Page 176
3.24 Management of Associated Pelvic Dysfunctions- External Rectal Prolapse and Faecal Incontinence.pdf……Page 182
3.25 Management of Associated Pelvic Dysfunctions- External Rectal Prolapse and Genital Prolapse.pdf……Page 188
3.26 Management Guidelines for Full-thickness Rectal Prolapse.pdf……Page 199
back-matter.pdf……Page 205