Rectal Prolapse: A Historical Perspective

Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Mayfield Heights, Ohio, USA.
Current problems in surgery (Impact Factor: 1.59). 09/2009; 46(8):602-716. DOI: 10.1067/j.cpsurg.2009.03.006
Source: PubMed
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    • "The first group aims to strengthen the rectal wall through inducing fibrosis, with or without reconstruction of the pelvic floor. They include mucosal cauterization, ligation and excision of the rectal mucosa at different points, or submucosal injection of different materials [1]. In the perineal approach, pioneered by El-Sibai and Shafik on 28 patients [10], they cauterize the rectal mucosa and apply multiple vertical purse-string sutures. "
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    ABSTRACT: 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. 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. In this series of patients, twenty-nine of them had complete recovery from the prolapse. Only one patient had recurrence 2 years after operation, and the same procedure was applied successfully with uneventful post-operative period. Although twenty-three patients had fecal incontinence and twenty-one of them regained continence after operation. 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.
    BMC Surgery 03/2014; 14(1):17. DOI:10.1186/1471-2482-14-17 · 1.40 Impact Factor
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    • "Ces injections ont été menées en hôpital de jour, sous anesthésie générale. Le patient a été installé en position gynécologique, l'index gauche de l'opérateur en intrarectal guidant l'aiguille et une quantité de 5 cm 3 de chlorhydrate de quinine—urée à 5 % (Kinurea H ® ) a été injectée strictement en sous-muqueux à trois heures et à neuf heures (Fig. 1) [1]. Le prolapsus ne s'est plus extériorisé dès la première injection pour tous les patients à l'exception d'un enfant qui a présenté une récidive et qui a nécessité trois injections à trois mois d'intervalles pour obtenir une guérison complète. "
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    ABSTRACT: Purpose of the study The rectal prolapse is a frequent affection of the young child and represents a motive for consultation regularly met in paediatrics. The purpose of this article is to review the coverage of child rectal prolapse, by promoting the perirectal injection with a sclerosing product. Patients and methods Retrospective study concerning 15 cases of primitive children rectal prolapses observed handled between 2002 and 2009. The treatment undergone by all the patients in this series was essentially based on the injection of sclerosing product under the mucous membrane, after failure of the medical treatment. Results The remote results were estimated after 2 years. No second recurrence was reported. The cure was obtained in 100% of the cases, without any complication. Conclusion The approach of this study is to show the utility of under mucous membrane injections of sclerosing product in the treatment of primitive rectal prolapse of the child to obtain a complete cure.
    Journal de Pédiatrie et de Puériculture 06/2013; 26(3):157–160. DOI:10.1016/j.jpp.2012.01.005
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    ABSTRACT: Recently, L. Gyugyi introduced the concept of the unified power flow controller (UPFC) in flexible AC transmission systems (FACTS). This paper shows that the voltage-source type matrix power converter cannot only fulfil the specifications of the UPFC but also surpass it on the following points: (1) the ability to link power systems at different frequency standards (60 Hz and 50 Hz); (2) 360° phase-shift range; and (3) high synchronizing power associated with series reactance compensation. This paper shows the modifications required to adapt the matrix power converter for UPFC application and presents experimental results which substantiate its capabilities
    Power Electronics Specialists Conference, 1996. PESC '96 Record., 27th Annual IEEE; 07/1996
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