الفهرس 
Aim of the work
Rectal ProlapseOnly 14 pages are availabe for public view
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Abstract
Aim of the work :-
Our study is a prospective randomized study designed to compare between sutured rectopexy with sigmoidectomy and rectopexy with mesh without bowel resection, as complications and functional outcome after surgery.
Rectal prolapse is a condition that has been fascinated surgeons for a long time.Despite its long recognition, the etiology & pathogenesis of true rectal prolapse remain controversial. But it is recognized that associated functional problems, such as incontinence and constipation, are common. Also the management of prolapse remains a challenging condition as there’s no single ideal surgical treatment has been identified. There should be two primary objectives in treating these patients. The first is to carry out a procedure that safely corrects the prolapse with minimal morbidity, without mortality and with least recurrence rates, with preserving rectal, urinary and sexual functions. The second is to cure or significantly improve the associated incontinence and the underlying defecation disorder.
This study included ten patients with complete rectal prolapse, 6 patients had constipation and 4 had incontinence. All patients were submitted to full clinical examination, sigmoidoscopy, barium enema and anorectal manometry. 4 patients had redundant sigmoid colon and were operated by resection rectopexy. The remaining 6 patients were operated by rectopexy alone, 2 with mesh and 4 with suture rectopexy.