Introduction:
Surgery to treat rectal prolapse, which happens when the rectum, the last segment of the large intestine, expands and protrudes from the anus, is a technique. After surgery, the rectum is repositioned. The surgery for rectal prolapse can be performed in a variety of methods. Based on your condition and general health, your surgeon will advise you on the best one.
People who experience persistent rectal prolapse symptoms including the leaking of stool, inability to regulate bowel movements (fecal incontinence), or blocked bowel movements may benefit from surgery to treat their pain and suffering. Men can also experience the issue, although elderly women are more likely to do so.
Risks
Rectal prolapse surgery carries serious risks. Risks vary, depending on surgical technique.
- Bleeding
- Bowel obstruction
- Infection
- Fistula
- Recurrence of rectal prolapse
- Sexual dysfunction
- Development of new or worsened constipation
What you can expect
Before the procedure
Rectal prolapse surgery can be done through the abdomen (rectopexy) or through the region around the anus (perineum). No procedure is considered the best overall. Discuss your options with your surgeon.
Rectal prolapse surgery requires anesthesia. Some options include general anesthesia, in which you're asleep, or a spinal block, in which your lower half is numb.
During the procedure
Rectal prolapse surgery types:
- Repair of rectal prolapse via the abdomen. Using an abdominal incision, the surgeon pushes the rectum back into position. He or she fastens the rectum to the pelvic back wall using stitches or a mesh sling (sacrum). Sometimes, such as when there has been a lengthy history of constipation, the surgeon will cut off a section of the colon.
- laparoscopic surgery for rectal prolapse. This surgery, which is also carried out via the belly, makes multiple smaller incisions. To correct the rectal prolapse, the surgeon makes small abdominal incisions and inserts specialised surgical instruments and a tiny camera.
- surgery with robots. Similar to a laparoscopic procedure, a surgical robot is used in this kind of surgery.
- Repair of rectal prolapse in the vicinity of the anus (perineal rectosigmoidectomy). The surgeon pulls the rectum through the anus, removes a piece of the rectum and sigmoid, and then joins the remaining rectum to the large intestine during the most often used version of this treatment (Altemeier procedure) (colon). This type of repair is often only appropriate for people who cannot have an open or laparoscopic procedure.
- Short prolapses are more frequently treated with the Delorme operation, another technique for correcting a rectal prolapse through the perineum. To shorten the rectum, the muscle layer is folded and the lining of the rectum is removed.
After the procedure
You'll stay in the hospital for a short period of time to heal and restore your bowel function. You'll start out by consuming clear liquids before moving on to solid meals. Depending on the surgery you undergo, you may only need to stay in the hospital for one night.
In the weeks following surgery, your doctor may advise drinking lots of fluids, using stool softeners, and eating a fiber-rich diet to prevent constipation and excessive straining, which can result in a recurrence of the rectal prolapse. Most patients may resume their regular activities 4 to 6 weeks following surgery.
Relearning how to utilize the pelvic floor muscles may be necessary for certain persons during physical therapy.
Results
For the majority of patients, rectal prolapse surgery reduces constipation and faecal incontinence while alleviating symptoms. Constipation, meanwhile, can occasionally get worse or start to be an issue after surgery when it wasn't previously. If you experience constipation before surgery, discuss solutions with your doctor.
About 2% to 5% of patients who have had surgery for rectal prolapse experience it again. Perineal surgery patients seem to experience it somewhat more frequently than abdominal surgery patients.
Conclusion
Patients Must Be Religiously Followed Up To 5–7 Years After Treatment Is Complete. The follow-up plan is created with regular, interval visits to the clinic. Additionally planned are annual colonoscopies and scans. If the tumour recurs, it is detected early and treated. Never skip a follow-up appointment. The Best Rectal Cancer Surgeon in Chandigarh is Dr. Rajeev Kapoor. In Chandigarh, he specialises in colon surgery, colonoscopy, colon polyposis, and colon cancer surgery. If you have been diagnosed with colon cancer, schedule a consultation with him right away. He is one of the best.
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