Type of Surgery
Information
Last updated: 02/17/2009
The approximate recurrence rates for the most commonly performed surgeries as reported by several studies are as follows:
- Altemeier procedure: 5โ54%
- Delorme procedure: 5โ26%
- anal encirclement: 25%
- rectopexy: 2โ10%
- anterior...
resection: 7โ9% - rectopexy with anterior resection: 0โ4%
- laparoscopic rectopexy
Abdominal surgeries are associated with a higher rate of complications than perineal repairs; rectopexy, for example, has a morbidity rate of 3โ29%, and anterior resection a rate of 15โ29%. The complication rate for combined rectopexy and anterior resection is slightly lower at 4โ23%. Approximately 25% of patients undergoing anal encirclement will eventually require surgery to treat complications associated with the procedure.
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Other Information
Definition:
This procedure is surgery to repair a rectal prolapse, the protrusion of the rectum (the last part of the colon) through the anus.
Description:
Rectal prolapse may be partial, involving only the mucosa, or complete, involving the entire wall of the rectum. It can occur in children but is much more common in older individuals.
Rectal prolapse in infants often gets better on its own and does not require surgery. Children with myelomeningocele and bladder exstrophy as well as children with cystic fibrosis are particularly at risk. Rarely it can be caused by acute diarrhea or straining to pass stool while constipated.
Rectal prolapse is most common in older individuals with a long history of constipation or weakness of the pelvic floor muscles. It is more common in women, especially those who have had a hysterectomy.
Other Information
Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.
From: eMedicine
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