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العنوان
Abdominal Rectopexy with Sigmoidectomy vs. rectopexy alone for management of complete rectal prolapse /
المؤلف
Mohamed, Asmaa Gaber Rizk.
هيئة الاعداد
باحث / Asmaa Gaber Rizk Mohamed
مشرف / Samy Mohamed Osman
مشرف / Nabil Yousef Salah El-Din Abo Aldahab
مشرف / Hosam Farouk Abd Elhameed
الموضوع
Colon (Anatomy) - surgery Rectum - surgery Colonic Diseases - surgery Rectal Diseases - surgery
تاريخ النشر
2013.
عدد الصفحات
125 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
الناشر
تاريخ الإجازة
6/8/2013
مكان الإجازة
جامعه جنوب الوادى - المكتبة المركزية بقنا - جراحه عامه
الفهرس
Only 14 pages are availabe for public view

from 137

from 137

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.