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1

Merrot, T., R. Ramirez, K. Chaumoître, M. Panuel, and P. Alessandrini. "Malformations anorectales, prolapsus rectal." EMC - Pédiatrie - Maladies infectieuses 3, no. 2 (January 2008): 1–8. http://dx.doi.org/10.1016/s1637-5017(08)72402-5.

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2

Siproudhis, L. "Prolapsus rectal en questions." Côlon & Rectum 5, no. 1 (January 28, 2011): 4–7. http://dx.doi.org/10.1007/s11725-011-0276-7.

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Gallot, Denis, and Jean Maurel. "Troubles de la statique rectale. Syndrome du prolapsus rectal." EMC - Gastro-entérologie 1, no. 1 (January 2006): 1–18. http://dx.doi.org/10.1016/s1155-1968(03)00074-9.

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4

Lebreton, G., C. Dufay, and A. Alves. "Troubles de la statique rectale de l’adulte. Syndrome du prolapsus rectal." EMC - Gastro-entérologie 7, no. 3 (June 2012): 1–12. http://dx.doi.org/10.1016/s1155-1968(12)53956-8.

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5

Lechaux, Jean-Pierre. "Traitement chirurgical du prolapsus rectal complet de l'adulte." EMC - Techniques chirurgicales - Appareil digestif 1, no. 1 (January 2006): 1–12. http://dx.doi.org/10.1016/s0246-0424(02)00042-0.

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Soravia, Claudio, and Eric Vollenweider. "Prolapsus rectal incarcéré après préparation colique au polyéthylène glycol." Gastroentérologie Clinique et Biologique 28, no. 11 (November 2004): 1177–79. http://dx.doi.org/10.1016/s0399-8320(04)95202-5.

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Kunin, Nestor, Marie-Laure Le Roy, Fabrice Ollivier, Virginie Morin-Chouarbi, and Luc Verbrackel. "Prolapsus rectal avec éviscération transanale aiguë du côlon sigmoïde." Gastroentérologie Clinique et Biologique 29, no. 4 (April 2005): 478–79. http://dx.doi.org/10.1016/s0399-8320(05)80824-3.

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8

Richieri, Mauricio. "Rectal projection of ileo-colic intussusception in a dog: case report." Revista de Educação Continuada em Medicina Veterinária e Zootecnia do CRMV-SP 15, no. 3 (March 1, 2017): 42–47. http://dx.doi.org/10.36440/recmvz.v15i3.37633.

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Intestinal intussusceptions and rectal prolapses deserve due attention and care because they have a high occurrence in the surgical clinic and require urgent intervention. Rectal prolapsed ileocecal intussusceptions are not so commonly seen on an outpatient basis and diagnosis is made to differentiate from simple rectal prolapses that does not compromise large intestinal segments and does not usually require celiotomy for its surgical reduction. Rectal examination is necessary in order to verify the difference here, since in simple rectal prolapse the thermometer or probe is not allowed to project between the prolapse and the anus. This report aims to present aspects related to rectal prolapsed ileo-cecal colic intussusception in canine species.
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Frollo de Kerlivio, C., S. Willot, M. C. Machet, P. Lanotte, and C. Maurage. "Prolapsus rectal chez un enfant de 3 ans 8 mois." Archives de Pédiatrie 15, no. 9 (September 2008): 1437–39. http://dx.doi.org/10.1016/j.arcped.2008.06.015.

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Sauvaget, S. "Prolapsus rectal chez une tortue grecque Testudo graeca traitée par entérectomie." Revue Vétérinaire Clinique 50, no. 1 (January 2015): 27–31. http://dx.doi.org/10.1016/j.anicom.2015.01.002.

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Soufi, M., H. O. El Malki, M. Chenna, O. Mouaquit, R. Mohsine, L. Ifrine, and A. Belkouchi. "Aspects cliniques et thérapeutiques du prolapsus rectal: étude de 30 cas." Journal Africain d'Hépato-Gastroentérologie 3, no. 3 (September 2009): 143–48. http://dx.doi.org/10.1007/s12157-009-0098-5.

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12

Pigot, F. "Traitement de la rectocèle et du prolapsus rectal interne par résection rectale transanale à la pince mécanique." Journal de Chirurgie 141, no. 5 (September 2004): 308–10. http://dx.doi.org/10.1016/s0021-7697(04)95339-2.

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13

Ersoz, Feyzullah, Ahmet Toros, Hasan Bektas, Ozhan Ozcan, Oguz Koc, and Soykan Arikan. "MALT lymphoma of the rectum, presenting with rectal prolapsus: a case report." Cases Journal 3, no. 1 (2010): 33. http://dx.doi.org/10.1186/1757-1626-3-33.

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14

Abet, E., and G. Meurette. "Résultats factuels pour le traitement du prolapsus rectal: est-ce possible, comment avancer ?" Côlon & Rectum 5, no. 1 (February 2011): 29–31. http://dx.doi.org/10.1007/s11725-011-0281-x.

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15

Sun, C., T. Hull, and G. Ozuner. "Facteurs de risque et caractéristiques cliniques du prolapsus rectal chez le sujet jeune." Journal de Chirurgie Viscérale 151, no. 6 (December 2014): 438–43. http://dx.doi.org/10.1016/j.jchirv.2014.05.006.

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16

Gagnon, Louis-Olivier, and Le-Mai Tu. "Mid-term results of pelvic organ prolapse repair using a transvaginal mesh: the experience in Sherbooke, Quebec." Canadian Urological Association Journal 4, no. 3 (April 17, 2013): 188. http://dx.doi.org/10.5489/cuaj.850.

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Objective: The objective was to report our experience on theimplantation of the Prolift system since 2005.Methods: Fifty-six patients were operated on between July 2005and August 2008 by 1 surgeon. The patients were implanted withthe transvaginal mesh, the Prolift system, for the treatment of recurrentor high-grade (Baden-Walker stage III or IV) multiple compartmentpelvic organ prolapse (POP) associated with symptoms.A concomitant anti-incontinence surgery was performed in 38patients (68%).Results: The population had a mean age of 68 (range 46-88), abody mass index of 27 (range 21-40) and a parity average of 3(range 1-16). Previous POP repair had been performed in 17 patients(30%) and a hysterectomy in 43 (77%). The operating room timewas on average 98 minutes (range 70-135), blood loss 81 mL(range 50-300) and hospital stay 3 days (range 1-10). With a medianfollow-up of 21 months, we found that the cure rate for POP was91% (48/53) and the reoperation rate was 8% (4/53). Perioperativecomplications included 1 rectal laceration and 1 prolonged bleeding.Short-term postoperative complications included 10 episodesof transient urinary retention that required immediate tape releasein 4 patients. Long-term complications included 5 POP recurrences,2 low grade and 3 high grade.Conclusion: The Prolift system appears to be a relatively safe andeffective alternative to conventional surgeries for the treatment ofrecurrent or high-grade multiple compartment POP, because of ahigh mid-term cure rate and a satisfactory complication profile.However, long-term follow-up is still needed to confirm these results.Objectif : Notre objectif ici est de parler de notre expérience avecl’implantation du système Prolift depuis 2005.Méthodologie : Entre juillet 2005 et août 2008, 56 patientes ontété opérées par le même chirurgien. Les patientes ont subi uneimplantation du système de bandelette transvaginale Prolift, pourle traitement d’un prolapsus pelvien pluricompartimental récurrentou de grade élevé (stade III ou IV de Baden-Walker) associéà des symptômes. Une chirurgie anti-incontinence concomitantea été réalisée chez 38 patientes (68 %).Résultats : L’âge moyen de la population de l’étude était de 68 ans(entre 46 et 88 ans), l’indice de masse corporelle moyen était de27 (entre 21 et 40), et en moyenne, la parité était de 3 (entre 1 et16). Une intervention antérieure de correction d’un prolapsus pelvienavait été effectuée chez 17 patientes (30 %), et une hystérectomie,chez 43 patientes (77 %). En moyenne, la durée de l’interventionétait de 98 minutes (de 70 à 135), la perte sanguine, de 81 mL (de50 à 300) et la durée du séjour à l’hôpital, de 3 jours (de 1 à 10).Après un suivi médian de 21 mois, le taux de guérison observépour le prolapsus pelvien était de 91 % (48/53) et le taux de répétitionde l’opération était de 8 % (4/53). (Trois patientes perdues ausuivi ne sont pas incluses dans le taux de guérison.) Les complicationspériopératoires incluent une lacération rectale et un épisodede saignement prolongé. Les complications postopératoires à courtterme incluent 10 épisodes de rétention urinaire transitoire nécessitantun retrait immédiat de la bandelette chez 4 patientes. Lescomplications à long terme incluent 5 récidives du prolapsus pelvien,2 de faible grade et 3 de grade élevé.Conclusion : Le système Prolift semble être une solution de rechangerelativement sûre et efficace aux interventions traditionnelles pourle traitement du prolapsus pelvien pluricompartimental récurrentou de grade élevé, en raison d’un taux élevé de guérison à moyenterme et d’un profil de complications acceptable. Cependant, unsuivi à long terme est toujours requis pour valider ces résultats.
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17

Lehur, P. A., and G. Meurette. "Que savons-nous exactement du prolapsus rectal et de sa prise en charge chirurgicale ?" Annales de Chirurgie 128, no. 2 (March 2003): 73–74. http://dx.doi.org/10.1016/s0003-3944(02)00045-7.

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18

Bequet, E., L. Stiennon, A. Lhomme, C. Piette, C. Hoyoux, L. Rausin, and O. Guidi. "Prolapsus rectal révélant une tumeur : intérêt de l’échographie abdominale, à propos de 3 cas." Archives de Pédiatrie 23, no. 7 (July 2016): 723–26. http://dx.doi.org/10.1016/j.arcped.2016.04.006.

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19

Gravié, J. F. "Traitement du prolapsus rectal récidivé : principes de prise en charge et application à trois cas cliniques." Gastroentérologie Clinique et Biologique 32, no. 5 (May 2008): S235—S239. http://dx.doi.org/10.1016/j.gcb.2008.04.016.

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20

Kouadio, G. K., L. Traoré, L. N. Kouadio, N. Ano, and H. T. Turquin. "Expérience de la technique de Delorme dans le traitement du prolapsus rectal permanent en Côte-d’Ivoire." Journal Africain d'Hépato-Gastroentérologie 5, no. 2 (June 2011): 90–92. http://dx.doi.org/10.1007/s12157-011-0243-9.

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21

Bot-Robin, V., A. Drain, J. P. Lucot, E. Poncelet, J. F. Quinton, and M. Cosson. "Faisabilité du traitement concomitant du prolapsus rectal et génital par prothèse par voie vaginale avec rectopexie." Pelvi-périnéologie 6, no. 3-4 (April 2, 2011): 166–73. http://dx.doi.org/10.1007/s11608-011-0368-8.

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22

Portier, G., S. Kirzin, M. Roumiguié, P. Cabarrot, and F. Lazorthes. "P.273 Prolapsus rectal intra-anal et incontinence anale : la rectopexie antérieure est-elle un traitement approprié ?" Gastroentérologie Clinique et Biologique 33, no. 3 (March 2009): A185. http://dx.doi.org/10.1016/s0399-8320(09)72964-1.

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23

Domingie, S. "Rectopexie antérieure de D’Hoore: une avancée chirurgicale vers la technique idéale pour le traitement du prolapsus rectal ?" Côlon & Rectum 5, no. 1 (February 2011): 14–15. http://dx.doi.org/10.1007/s11725-011-0280-y.

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24

Ghorbel, S., T. Chouikh, H. Yengui, A. Charieg, F. Nouira, and B. Chaouachi. "Place de la sclérothérapie dans le traitement du prolapsus rectal récidivant de l’enfant : à propos de 15 cas." Journal de Pédiatrie et de Puériculture 26, no. 3 (June 2013): 157–60. http://dx.doi.org/10.1016/j.jpp.2012.01.005.

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25

Delestre, M., A. David, and E. Frampas. "Atlas des anomalies anatomiques de la dyschésie." Côlon & Rectum 13, no. 4 (November 2019): 180–87. http://dx.doi.org/10.3166/cer-2019-0111.

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L’obstruction à la défécation, qu’elle soit d’origine fonctionnelle ou mécanique, ou du fait de l’association de ces deux mécanismes, nécessite désormais un bilan d’imagerie dynamique afin d’en caractériser l’étiologie et le retentissement anatomique, dans le but d’orienter la prise en charge. Cet article a pour but de faire l’inventaire des différentes entités anatomiques rencontrées en imagerie par résonance magnétique (IRM). Différents repères anatomiques sont importants, comme la ligne pubococcygienne joignant le pubis à la dernière articulation coccygienne et permettant de définir la descente périnéale, ou bien l’axe du canal anal dans le diagnostic des rectocèles. Dans certaines situations, comme dans le cas du prolapsus rectal extériorisé, l’usage de l’IRM n’est pas utile au diagnostic, mais plus dans le but de démasquer d’autres entités associées, par exemple une élytrocèle. C’est pour ces raisons que l’IRM pelvienne dynamique (déféco-IRM) est aujourd’hui de pratique courante dans le bilan des troubles de la statique pelvienne et joue un rôle dans le choix de la prise en charge.
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Jeremic, Vasilije, Srdjan Mijatovic, Slobodan Krstic, Sanja Dragasevic, and Tamara Alempijevic. "Rectosigmoid prolapse - a case report." Vojnosanitetski pregled 72, no. 12 (2015): 1118–21. http://dx.doi.org/10.2298/vsp140706001j.

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Introduction. Many factors have been indentified as a possible cause of rectal prolaps. Despite the fact that it is not a lifethreating condition, its clinical presentation varies, and sometimes it can present as an emergency. We presented a patient with prolapse of an unusually large segment of the rectosigmoid colon caused by chronic constipation, as an incarcerated segment repaired surgically. Case report. A 62-year-old female patient was referred to the Emergency Department in bad condition with severe pain in the perianal region. On examination a complete rectal prolaps as well as a part of sigmoid colon were found. Macroscopically, the prolapsed segment appeared edematous, livid, with ulcerations. An attempt to manually reduce prolapse failed, therefore resection of 50 cm of sigmoid colon with rectopexy had to be performed. No complications occurred and the patient was without symptoms six months later. Colonoscopy did not reveal any abnormality. Conclusion. Although the preoperative management and preparation of the patient was limited, emergancy surgical intervention for such a case was the strategy of choice due to magnitude of the prolapsing segment. It provided a successful and permenant solution.
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Ballesta Ferrer, C., F. Ris, J. F. Colin, J. Jamart, R. Detry, and A. Kartheuser. "Résultats à long terme de la cure de prolapsus rectal total par voie périnéale selon la technique d’Altemeier (280)." Journal de Chirurgie Viscérale 147, no. 4 (September 2010): 18. http://dx.doi.org/10.1016/s1878-786x(10)70041-3.

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28

Amortegui, Jose D., and Julio A. Solla. "Procedure for Prolapsed Hemorrhoids for Treatment of Rectal Mucosa Prolapse following Anorectoplasty for Imperforate Anus." American Surgeon 74, no. 5 (May 2008): 443–46. http://dx.doi.org/10.1177/000313480807400518.

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Surgical management of imperforate anus and rectal mucosal prolapse has evolved significantly over the last two decades. The procedure for prolapsed hemorrhoids (PPH) is now widely used primarily for rectal mucosal prolapse and internal hemorrhoids. We describe the use of PPH in the management of symptomatic rectal mucosal prolapse in a 39-year-old man with a history of a high imperforate anus and pelvic floor reconstruction. At 4-year follow up, the prolapse has not recurred and the preoperative symptoms have resolved. To the best of our knowledge, this is the first report on the use of a PPH in the management of rectal mucosal prolapse in a patient with these characteristics.
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Raja, S., P. Jayaganthan, V. Prabaharan, and S. Satheshkumar. "Concurrent occurrence of vagino-cervical and rectal prolapse in a doe and its successful management." Issue 2 (November - December) 1, no. 2 (December 24, 2020): 136–39. http://dx.doi.org/10.51128/jfas.2020.a025.

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Abstract: Vaginal prolapse is a common reproductive problem during their last trimester of pregnancy. Protrusion of single or more layers of rectum through the anus is rectal prolapse. Rectal prolapse is also a common problem in cattle and small ruminants. Rectal prolapse occurs following straining which may be related with many conditions. In late gestation, vaginal prolapse may occur due to hormonal shift, decline in progesterone and rise in estrogen. Because of vaginal prolapse the animal may strain continually and end up with rectal prolapse and leads to a serious obstetrical emergency. A two and half years old pluriparous non descriptive doe was presented with the history of a mass protruding through the vulva and anal opening for the past five hours. Based on the initial clinical observation, the case was diagnosed as vagino-cervical prolapse coupled with rectal prolapse. The prolapsed vaginal mass and rectal mass was reduced and replaced in its anatomical position. Since the rectal straining was persistent, parturition was induced using cloprostenol (125 µg) and dexamethasone sodium phosphate (16 mg) as intramuscular injection. Following the induction, the doe delivered two live male kids after 36 hrs. After parturition straining was not observed. The animal made an uneventful recovery without any recurrence. Keywords: Doe, Rectal Prolapse Vagino-cervical prolapse, Parturition, Induction
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Lechaux, JP, P. Atienza, E. Husson, D. Lechaux, and I. Bars. "Traitement du prolapsus rectal complet par rectopexie au plancher pelvien avec prothèse et résection du sigmoïde. Résultats anatomocliniques d'une étude prospective." Chirurgie 123, no. 4 (September 1998): 351–57. http://dx.doi.org/10.1016/s0001-4001(98)80004-4.

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31

Pimenova, E. S., and G. A. Korolev. "Rectal prolapse in children. Causes, diagnostics, treatment (a literature review)." Russian Journal of Pediatric Surgery 25, no. 3 (July 20, 2021): 186–91. http://dx.doi.org/10.18821/1560-9510-2021-25-3-186-191.

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Introduction. Rectal prolapse is evagination of the rectal wall outside the anal opening. It can be full-thickness, partial thickness or mucosal. Rectal prolapse is most often met in children from 1 to 4 years of age. This is due to their anatomical features: vertical position of the rectum (open anorectal angle), mobile sigmoid colon, increased mobility of the rectal mucous. Chronic constipation plays an important role in evagination as well as infection, parasitic diseases and cystic fibrosis.Material and methods. Literature searches were done in Scopus, PubMed, Google Scolar and eLibrary databases.Results. Diagnostics includes disease history and physical examination. It is important to differentiate rectal prolapse from hemorrhoids and prolapsing rectal polyps. Photos taken by parents at the moment of prolapse can benefit in making a rapid and correct diagnosis as at the moment of examination the prolapse has very often been corrected. Currently, there are three basic approaches for rectal prolapse care: conservative, sclerotherapy and surgical. The conservative treatment is aimed to reduce the prolapse and to treat the basic disease. Sclerotherapy is the injection of the preparation which causes local inflammation and fibrosis. The injection is made into the pararectal space. If the conservative treatment is ineffective and the patient suffers of frequent prolapses, strangulation, mucous bleedings, than surgical treatment may be indicated for children older than 4.Conclusion. The meta-analysis, performed recently, has demonstrated that conservative treatment is recommended for children before 4 because spontaneous prolapse correction is often seen in this age group. 70% ethyl alcohol is very effective as the sclerosant. Surgical interventions in case of the rectal prolapse are various; open and laparoscopic rectopexy is considered the most effective one. In some cases, rectum fixation with mesh is indicated. Currently, there is no any technique for rectal prolapse treatment which could guarantee no recurrences. Curative tactics is always individual.
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Chaloner, EJ, J. Duckett, and J. Lewin. "Paediatric Rectal Prolapse in Rwanda." Journal of the Royal Society of Medicine 89, no. 12 (December 1996): 688–89. http://dx.doi.org/10.1177/014107689608901208.

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During the 1994 crisis in Rwanda, a high incidence of full-thickness rectal prolapse was noted among the refugee children in the south-west of the country. The prolapses arose as a result of acute diarrhoeal illness superimposed on malnutrition and worm infestation. We used a modification of the Thiersch wire technique in 40 of these cases during two months working in a refugee camp. A catgut pursestring was tied around the anal margin under local, regional or general anaesthesia. This was effective in achieving short-term control of full-thickness prolapse until the underlying illness was corrected. Under the circumstances, no formal follow-up could be arranged; however, no complications were reported and only one patient presented with recurrence.
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Yagmur, Yusuf, Ebral Yigit, Zeynep Sener Bahce, and Serdar Gumus. "Stapled Hemorrhoidopexy With Longo Process in the Treatment of 3rd and 4th Degree Internal Hemorrhoids and Rectal Mucosal Prolapsus: A Prospective Study." Journal of Gastroenterology and Hepatology Research 4, no. 8 (2015): 1730–33. http://dx.doi.org/10.17554/j.issn.2224-3992.2015.04.556.

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34

Silva, Aline Rocha, Yana Gabriella de Morais Vargas, Amanda Caroline Gomes Graboschii, Rayane Caroline Medeiros do Nascimento, Lucas Santana da Fonseca, Adroaldo José Zanella, Chiara Albano de Araújo Oliveira, and Pierre Barnabé Escodro. "Type II rectal prolapses in vulnerable donkeys: three case reports." Research, Society and Development 9, no. 12 (December 27, 2020): e37991211181. http://dx.doi.org/10.33448/rsd-v9i12.11181.

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Rectal prolapse a rectal static disorder and is more common in donkey than in horses. The aim of this study was to relate the cases of three type II retained prolapses in northeastern donkeys (Equus asinus) that were vulnerable and mistreated, from the exploratory chain to decrease. Two males and one female, which were treated, exhibited an evolution of prolapse over 6, 24, and 96 h. Tachycardia and tachypnea were observed in the two cases with the shortest duration of prolapse evolution, for which conservative mechanical reversal was effective, without the need for a surgical procedure. Conditions differed between the heart rate and respiratory parameters in case with 96 h of evolution, or in those where it was necessary to use epidural anesthesia and sphincter suture with a tobacco bag pattern. The findings of this study reinforce the need to compile cases from the literature to establish a standard protocol for rectal prolapse in donkeys.
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Maheshwari, Sapna, Harshit Shah, and Pragnesh Patel. "EFFECT OF PERINEAL REPAIR AND MUSHAKADI TAILA MATRABASTI IN MANAGEMENT OF RECTAL PROLAPSE (GUDABHARMSA): A CASE STUDY." International Ayurvedic Medical Journal 8, no. 8 (August 18, 2020): 4267–70. http://dx.doi.org/10.46607/amj3808082020.

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Rectal prolapse can present in a variety of forms and is associated with a range of symptoms including pain, incomplete evacuation, bloody and/or mucous rectal discharge, and fecal incontinence or constipa-tion. Complete external rectal prolapse is characterized by a circumferential, full-thickness protrusion of the rectum through the anus, which may be intermittent or may be incarcerated and poses a risk of strangu-lation. There are multiple surgical options to treat rectal prolapse, and thus care should be taken to under-stand each patient’s symptoms, bowel habits, anatomy, and pre-operative expectations. We propose an al-gorithm based on available outcomes data in the literature, an understanding of ano-rectal physiology, and expert opinion that can serve as a guide to determining the rectal prolapse operation that will achieve the best possible postoperative outcomes for individual patients. Mushakadi Taila Matrabasti will be given in Sushrut Samhita as a treatment1 with perineal repair. So, it is really needed to find a safe, easier, less com-plicating, cost effective and fruitful approach for the management of disease through Ayurveda. A 62year old male patient came to the hospital with chief complaints of protrusion of mass from the anus with mu-cous discharge, constipation since last 5 years. He was diagnosed as complete rectal prolapse. Considering the signs and symptoms of rectal prolapse, the treatment of rectal prolapsed was planned with perineal re-pair and Mushakadi Taila Matarabasti as per mentioned in the treatment of Gudabhransha by Aacharya Sushruta.
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Meshram, Girish Gulab, Neeraj Kaur, and Kanwaljeet Singh Hura. "Complete Rectal Prolapse in Children: Case Report, Review of Literature, and Latest Trends in Management." Open Access Macedonian Journal of Medical Sciences 6, no. 9 (September 21, 2018): 1694–96. http://dx.doi.org/10.3889/oamjms.2018.376.

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BACKGROUND: Complete rectal prolapse is the circumferential descent of all the layers of the rectum through the anus. It often leads to bleeding, obstructed defecation, incarceration or fecal incontinence. CASE REPORT: We present a rare case of a 4-year-old child with complete rectal prolapse of 12 cm in length. The prolapsed rectum was manually repositioned after reducing the oedema. The precipitating factor was identified as excessive straining while passing stools. A change in position while passing stools was advised along with a high fibre diet and a stool softener. Recurrence was not observed in the 3 month of follow-up. CONCLUSION: Most cases of pediatric rectal prolapse are managed conservatively by addressing the associated and precipitating etiological factors. Surgical intervention may be required for recurrent or persistent cases.
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37

Čech, Svatopluk, Zbyněk Jan, Eva Malá, and Radovan Doležel. "Innovation of Surgical Correction of Rectal Prolapse in Sows." Acta Veterinaria Brno 79, no. 1 (2010): 121–25. http://dx.doi.org/10.2754/avb201079010121.

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The aim of the work was to describe an alternative method of treatment of prolapsed rectum in the sows. This approach was used to treat rectal prolapse in four affected sows. A 23.5 cm long Gerlach's needle was used for sewing a circular suture around the base of prolapsed rectum. The horizontal U-suture was performed with a synthetic absorbable surgical fibre. Two fibres 25–30 cm long were placed into the needle eye, the needle was inserted under finger control into the rectal lumen and the prolapsed tissue was penetrated from the inside to the outside. Both ends of the first fibre were grasped by haemostatic forceps and fixed for the last stitch and the inner end of the second fibre was placed into the needle eye with the third fibre. Rectal tissue was penetrated in the same manner at the distance of 2–3 cm from the place of the first penetration. The first U-stitch was made by tying both ends of the second fibre after the needle removal. The inner end of the third fibre was placed into the needle eye with the fourth fibre and the procedure was repeated around the whole prolapse until the first fibre was reached and used for the last stitch. The prolapsed tissue was excised by a blade at the distance of approximately 2 cm from the suture. There was no haemorrhage due to ligation of the tissue. After placing the simple continuous catgut suture around the rectum, a spontaneous retraction of the stump occurred, and the purse-string suture was not required. This method is applicable in practice in sows suffering from large, oedematous and hard prolapse when simple reposition or use of another surgical correction is impossible. In addition, the method may be used also in other large animal species.
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38

Chaudhry, Naueen Akbar, Kristina Go, and Atif Iqbal. "Rectal prolapse: rare presentation and complication." International Surgery Journal 4, no. 4 (March 25, 2017): 1447. http://dx.doi.org/10.18203/2349-2902.isj20171019.

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An 86-year-old female presented with the first episode of an incarcerated full thickness rectal prolapse, concerning for ischemia of the prolapsed segment. Intra-operatively, the patient was noted to have an enterocele containing a 20-25 cm segment of strangulated and perforated small bowel. She underwent a perineal rectosigmoidectomy (altemeier procedure) with levatorplasty followed by a small bowel resection and anastomosis trans-abdominally.
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39

Shelton, John, and Sittampalam Rajendra. "Minimally Invasive Correction of Prolapsed, Gangrenous Distal Limb of Loop Ileostomy to End-Loop Stoma." Case Reports in Surgery 2020 (November 6, 2020): 1–3. http://dx.doi.org/10.1155/2020/8873388.

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Introduction. Prolapse can be a complication of loop stomas. A prolapsed stoma which cannot be reduced or complicated with strangulation needs surgical correction. This case report describes a minimal access correction of a prolapsed gangrenous distal limb of ileostomy. Presentation of Case. A 67-year-old male patient was diagnosed with a lower rectal carcinoma, staged T3N1M0. Following neoadjuvant chemoradiation, he underwent a laparoscopic anterior resection with a defunctioning loop ileostomy. One month later, he presented with prolapse of the distal limb of the ileostomy. The limb was gangrenous and the gangrenous part was removed by using a linear GI stapler, and the loop ileostomy was converted to end-loop ileostomy. Discussion. It is a simple and technically feasible method for treating a prolapsed loop of the stoma. It is less invasive and has minimal postoperative complications. This technique reduces the duration of the hospital stay of the patient. Conclusion. Stapled assisted correction of prolapsed stoma avoids unnecessary laparotomy and aids in expedite recovery after surgery. It is beneficial for a surgeon to be familiar with the minimal access correction for stoma prolapse.
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40

Njoku, Njoku Uchechukwu, Kelechi Theresa Jeremiah, Rock Odimma Ukaha, and Chioma Frances Orajaka. "A Case of Complete Rectal Prolapse in an In-Gilt." Case Reports in Veterinary Medicine 2014 (2014): 1–3. http://dx.doi.org/10.1155/2014/812340.

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A seven-month-old in-gilt was presented with an intractable rectal prolapse. The prolapsed rectum was swollen, necrotic, and ulcerated. The pig was apparently healthy and had been ingesting high fibre feed materials, with little water. The pig was anaesthetized with 1.1 mg/kg body weight of xylazine and 10 mg/kg body weight of ketamine administered intramuscularly and intravenously, respectively. The prolapse was removed by placing a stay suture distal to the necrotic tissue and excising the tissue close to the apparently healthy part. A rectopexy was also performed. The pig was placed on prophylactic antibiotics and discharged.
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41

Pourtal, C., L. Volondat, S. Lambert, J. Robert, M. Rousselet, and M. Grall-Bronnec. "Les troubles périnéosphinctériens chez les patients souffrant de troubles du comportement alimentaire." Côlon & Rectum 13, no. 4 (November 2019): 188–94. http://dx.doi.org/10.3166/cer-2019-0115.

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Contexte : Les troubles périnéosphinctériens (TPS) survenant chez les patients souffrant de trouble du comportement alimentaire (TCA) sont des complications sous-abord ées dans la littérature. Le but de cette revue de la littérature était de faire le point sur l’état des connaissances actuelles pour aider le clinicien prenant en charge les TPS à les mettre en lien avec les TCA, et le clinicien prenant en charge les TCA à les prévenir et à les repérer le plus précocement possible, dans une perspective de réduction des risques et des dommages. Méthode : Deux revues de littérature ont été conduites, l’une portant sur les TPS d’origine digestive, l’autre sur les TPS d’origine urinaire. La sélection des articles s’est faite en nous référant aux recommandations PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) et à partir des bases de données PubMed et ScienceDirect. Résultats : Douze articles ont été retenus. Les TPS identifies sont la constipation, l’incontinence fécale, l’incontinence urinaire et le prolapsus rectal. Ils sont secondaires aux effets de la malnutrition sur la composante musculaire ainsi qu’à la pression abdominale exercée par des comportements visant à réguler la prise de poids, tels que les exercices physiques réalisés en hyperpression, les efforts de poussée lors de l’émission des selles et les vomissements provoqués. Conclusion : Une anamnèse précise et méticuleuse chez les personnes présentant un indice de masse corporel bas semble primordiale. L’usage de laxatifs est à proscrire avant un programme de renutrition d’au moins trois semaines.
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42

Fernández Gómez-Cruzado, Laura, Teresa Marquina Tobalina, Eva Alonso Calderón, Leire Agirre Etxabe, Jasone Larrea Oleaga, and Arkaitz Perfecto Valero. "Prolapso rectal incarcerado secundario a adenoma velloso gigante." Revista Argentina de Cirugía 111, no. 3 (September 1, 2019): 180–83. http://dx.doi.org/10.25132/raac.v111.n3.1414.es.

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Villous adenomas may present with bleeding, diarrhea, electrolyte imbalance (Mackittrick-Weelock syndrome), obstruction, being a very rare cause of rectal prolapse. Rectal prolapse is a full thickness protrusion of the rectum through the anal canal and its presentation as an incarcerated rectal prolapse is very infrequent. If manual reduction is deemed impossible, perineal recto-sigmoidectomy, or Altemeier’s procedure, is one of the best surgical options, as an alternative transanal excision of the polyp could be performed with subsequent manual reduction of the rectal prolapse. We report the case of a female patient, admitted to the emergency room presenting an incarcerated rectal prolapse with a friable ulcerated mass of 10 × 8 × 5 cm, compatible with a villous polyp in the back side of the rectum. Since manual reduction was considered not feasible, surgery was decided and a transanal excision of the polyp was performed, following a successful manual reduction of the rectal prolapse. This case is of particular interest for its unusual association of incarcerated rectal prolapse due to a giant villous adenoma, having only 4 cases been reported in the literature.
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43

Alalfy, Tamer R., Yasser A. Orban, Mohammed Algazar, and Ahmed Farag. "Surgery for Complicated Stomal Prolapse: Is the Altemeier Technique an Option? A Report of Three Cases." Journal of Coloproctology 41, no. 01 (March 2021): 037–41. http://dx.doi.org/10.1055/s-0041-1724060.

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Abstract Introduction The incidence of stomal prolapse ranges from 2% to 22%. The risk factors include colostomy, the short length of the stoma, obesity, emergency surgery, and the improper (or even absence of) marking of the preoperative site for the stoma. Complicated stomal prolapse associated with severe mucosal irritation, ischemic changes, or bleeding requires surgical intervention. Objective To describe the use of the Altemeier technique in the management of cases of complicated prolapsed stoma after failure of the local medical measures and manual reduction. Methods Case series of three patients with past history of abdominoperineal resection of rectal cancer and permanent end colostomy presented with irreducible prolapse of the stoma. After the failure of the local measures and manual reduction, urgent surgical intervention using the modified Altemeier technique was necessary. Results The modified Altemeier technique is simple, presents low risk of operative and postoperative complications, besides enabling an early recovery, with a lower risk of recurrence during the first 6 months after the repair. Conclusion The modified Altemeier technique may be a valid therapeutic modality in the setting of complicated prolapsed stoma.
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44

Bridoux, V., F. Michot, and J. J. Tuech. "L’intervention de STARR avec la pince CONTOUR 30® (TRANSTAR®) pour le traitement du syndrome obstructif défécatoire secondaire à une rectocèle et à un prolapsus rectal interne." Journal de Chirurgie Viscérale 148, no. 5 (October 2011): 408–14. http://dx.doi.org/10.1016/j.jchirv.2011.09.008.

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45

Bremmer, S., R. Udén, and A. Mellgren. "Defaeco-Peritoneography in the Diagnosis of Rectal Intussusception and Rectal Prolapse." Acta Radiologica 38, no. 4 (July 1997): 578–83. http://dx.doi.org/10.1080/02841859709174390.

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Purpose: The aim of the present study was to evaluate the use of defaeco-peritone-ography in diagnosing rectal intussusception as distinct from mucosal folds in the rectum, and rectal prolapse as distinct from mucosal prolapse. Material and Methods: Fifty-seven patients with defaecation disorders were examined by means of defaeco-peritoneography. Results: Twenty-three patients had rectal intussusception and 7 patients had rectal prolapse at defaeco-peritoneography. All these patients had a rectal peritoneocele in the serosal ring-pocket of the rectal intussusception or in the rectal prolapse. Twenty-seven patients had neither rectal intussusception nor rectal prolapse and none of these patients had a rectal peritoneocele. Conclusion: The present study demonstrated that only patients with a rectal intussusception or rectal prolapse have a rectal peritoneocele. Defaeco-peritoneography therefore offers correct diagnosis of rectal intussusception as distinct from mucosal folds in the rectum, and of rectal prolapse as distinct from mucosal prolapse.
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46

Boutrid, Nada, Hakim Rahmoune, Karim Bouziane-Nedjadi, and Abdelkrim Radoui. "Digestive and hepatobiliary manifestations of children with cystic fibrosis in Oran, Algeria." Batna Journal of Medical Sciences (BJMS) 8, no. 1 (June 4, 2021): 36–41. http://dx.doi.org/10.48087/bjmsoa.2021.8107.

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Introduction. La mucoviscidose reste une affection potentiellement sévère, responsable d’une morbimortalité élevée dans notre pays en raison du retard diagnostique et de prise en charge des enfants vu l’absence de dépistage néonatal. Objectif. Présenter les signes cliniques digestifs et hépatobiliaires des enfants atteints de mucoviscidose au diagnostic et lors de leur suivi. Patients et méthodes. Etude descriptive, transversale et rétrospective conduite au niveau du service de pneumo-allergologie de l’EHS Canastel « Boukhrofa Abdelkader » à Oran, entre 2000 et 2019, concernant les dossiers des enfants avec un diagnostic confirmé de mucoviscidose. Résultats. Sur 51 dossiers d’enfants colligés (49% de garçons, âge moyen = 6.68 +/- 4.24 années), la triade classique avec diarrhée, dénutrition et atteinte pulmonaire était le premier motif d’hospitalisation avec 41% des enfants. Aussi, à l’admission, la diarrhée chronique avec stéatorrhée était présente dans 82,4% des cas, avec 11.8% de déshydratation. Trente-six pour cent (36%) des enfants présentaient également une dénutrition associée. Concernant le système hépatobiliaire, 10% des enfants présentaient une hépatomégalie clinique, avec une lithiase vésiculaire dans un seul cas. Un seul enfant a présenté un prolapsus rectal. Sur le plan thérapeutique nutritionnel, tous les enfants ont reçu des extraits pancréatiques. L’évolution des diarrhées était globalement favorable ; le pourcentage des enfants diarrhéiques étant passé de 82.4% à 37.25% avec une amélioration de l’index de masse corporelle (IMC) chez 42.55% des malades. Conclusion. Les manifestations hépato-digestives sont au premier plan au cours de la mucoviscidose : dans notre cohorte, tous les patients ont présenté au moins un signe d’appel digestif durant leur suivi. Leur reconnaissance et surtout leur prise en charge précoces sont des étapes essentielles en vue d’améliorer le pronostic des enfants atteints de mucoviscidose. Mots clés : Mucoviscidose, Enfant, Algérie, insuffisance pancréatique exocrine, complications digestives, complications hépatobiliaires.
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47

Swiderski, Jen, and Stephen Withrow. "A Novel Surgical Stapling Technique for Rectal Mass Removal: A Retrospective Analysis." Journal of the American Animal Hospital Association 45, no. 2 (March 1, 2009): 67–71. http://dx.doi.org/10.5326/0450067.

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Both benign and malignant rectal masses occur in dogs. The mainstay of treatment is surgical excision with adjuvant therapy based on histopathological diagnosis and completeness of removal. Location of the mass within the rectum helps dictate the approach used. This paper describes the use of a novel technique for removal of rectal masses involving the distal third of the rectum in seven dogs. To perform this technique, the rectum is prolapsed and stay sutures are placed to maintain prolapse. A thoracoabdominal stapling device is placed at the base of the mass with a minimum of 0.5- to 1-cm margins, and the mass is amputated. Mean time to veterinarian follow-up was 564 days, and no dog had recurrence of disease during this time.
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48

Babu MV, Dinesh. "A study on Altemeier’s Perineal Procedure for Rectal Prolapse in Adults." New Indian Journal of Surgery 11, no. 2 (June 1, 2020): 203–6. http://dx.doi.org/10.21088/nijs.0976.4747.11220.19.

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49

Roberts, John W. "Rectal Prolapse." Clinics in Geriatric Medicine 1, no. 2 (May 1985): 445–52. http://dx.doi.org/10.1016/s0749-0690(18)30950-9.

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50

Melton, Genevieve B., and Mary R. Kwaan. "Rectal Prolapse." Surgical Clinics of North America 93, no. 1 (February 2013): 187–98. http://dx.doi.org/10.1016/j.suc.2012.09.010.

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