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laparascopic abdominal surgery to repair a rectal prolapse.
Discussion in 'All Categories' started by Karin Corteen - Jun 23rd, 2012 8:47 pm.
Karin Corteen
Karin Corteen
Almost 5 wks after surgery, unable to control bowel movements. Often 10-12 times within 5-6 hours. Sometimes every 1/2 hour for 5-6 hours. Have taken several prescriped meds, recent belladona/opium suppositories.
re: laparascopic abdominal surgery to repair a rectal prolapse. by Dr J S Chowhan - Jun 24th, 2012 1:25 am
#1
Dr J S Chowhan
Dr J S Chowhan
Dear Karin Corteen

Diarrhea is present in many patients after rectal prolapse surgery. You should not worry as diarrhea and incontinence improve after surgery.

There are two surgical options for rectal prolapse; laparoscopic abdominal approach or perineal approach. There are risks and benefits with both procedures.

In our opinion your problem of diarrhea should be cured within 3 month of surgery otherwise I would advise that you contact your colo-rectal surgeon who completed your operation and discuss with him the surgical approach that has been already completed, your ongoing symptoms, and further surgical options for symptomatic improvement.

With regards

Dr J S Chowhan
re: laparascopic abdominal surgery to repair a rectal prolapse. by Dr J S Chowhan - Jul 1st, 2012 8:39 am
#2
Dr J S Chowhan
Dr J S Chowhan
Dear Corteen

Complete rectal prolapse (procidentia) may be the circumferential protrusion through the anus of all layers from the rectal wall. This is common disease in male patient.

It is a distressing and demoralising condition and can result in serious complications such as gangrene and perforation and so it was your nice decision to get the laparoscopic surgery of rectal prolapse done.

Even though it can exist in all ages group, it is most often a condition of elderly women. This common disease assesses surgical approaches to current clinical practice for rectal prolapse in adults.

The main cause of rectal prolapse remains unclear. You will find certain risks for developing rectal prolapse including:

(1) the presence of an abnormally deep pouch of Douglas.

(2) the lax and atonic condition of themuscles of the pelvic floor and anal canal.
(3) weakness of both internal and external sphincters, often with proof of pudendal nerve neuropathy, and
(4) In some patients the lack of normal fixation of the rectum, with a mobile mesorectum and lax lateral ligaments.

Other predisposing factors include

(1)Ligament disorders,
(2)Neurological illnesses and
(3)parity .

Rectal prolapse may lead to acute complications from the prolapse itself like pain, ulceration, bleeding, incarceration and gangrene or chronic debilitating symptoms for example difficulty maintaining perianal hygiene like faecal incontinence, discharge of mucus.

Description of the intervention The only real potentially curative strategy to complete rectal prolapse is surgery and recently laparoscopic surgery is considered as the best option. However, for those who are unfit for surgery, high fibre intake with stool softener might help if constipation is a predominant symptom.

A range of surgical interventions can be found which, although similar in principle, differ technically in a number of respects. Differences include surgical method of the prolapsed bowel like transabdominal, open versus laparoscopic or perineal approach, and whether it is simply fixed rectopexy, or resected some portion of large bowel like sigmoid colon is removed, or both.

Before answering your problem of your diarrhea we would like to know that how exactly your surgery was performed and sygmoidedctomy was performed as a part of your rectopexy or not. However in our experience day by day your problem should become better and within few month of surgery you will be normal.

With regards
J S Chowhan
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