BACKGROUND Laparoscopic ventral mesh rectopexy using a composite mesh is a technique gaining more recognition for management of pelvic floor disorders such as full thickness rectal prolapse, obstructive defecation symptoms and vaginal vault prolapse. A recent Cochrane review concluded that laparoscopic rectopexy results in fewer postoperative complications and an earlier discharge1 over open me...

Aim: Evaluation of results of the redo operations performed for recurrent rectal prolapse. Material and methods: This study entered 16 patients after redo surgery for recurrent rectal prolapse between 1998 and 2010. There were 14 female and 2 male patients aged from 42 to 92 (mean age 69 years). Primary abdominal rectopexy was performed in 5 patients, 3 patients underwent perineal rectosigmoide...

An acute rectal mucosal prolapse in a 26-yr-old Indian rhinoceros (Rhinoceros unicornis) was repaired surgically by mucosal resection. Two days postoperatively, suture line dehiscence accompanied by substantial hemorrhage was managed by ligation and hemostasis during a second immobilization. Medical management with nonsteroidal anti-inflammatory drugs and diuretics reduced the mucosal edema and...

BACKGROUND Laparoscopic ventral mesh rectopexy using a composite mesh is a technique gaining more recognition for management of pelvic floor disorders such as full thickness rectal prolapse, obstructive defecation symptoms and vaginal vault prolapse. A recent Cochrane review concluded that laparoscopic rectopexy results in fewer postoperative complications and an earlier discharge1 over open me...

BACKGROUND AND AIMS The main aim was to examine constipation and anal incontinence in patients before and after resection for external rectal prolapse. MATERIAL AND METHODS Twenty patients had ligament preserving suture rectopexy and sigmoid resection (resection rectopexy) for external rectal prolapse by laparoscopic (n = 15) or open (n = 5) technique during 2001-2005. They were prospectively...

AIM To assess the feasibility of magnetic resonance defaecography (MRD) in pelvic floor disorders using an open tilting magnet with a 0.25 T static field and to compare the results obtained from the same patient both in supine and orthostatic positions. MATERIALS AND METHODS From May 2010 to November 2011, 49 symptomatic female subjects (mean age 43.5 years) were enrolled. All the patients un...

PURPOSE To evaluate the correlations of anatomical parameters between dynamic pelvic CT (D-PCT) and conventional defecography (CD) for patients with rectal prolapse. MATERIAL AND METHODS Anatomical parameters in multislice CT scanning of the pelvis performed at rest and during simulated defecation (D-PCT) were studied with those of CD to evaluate the correlations in both methods for 10 patien...

Full thickness rectal prolapse as a presenting feature of occult intraabdominal disease is rare. Two such cases are described and the possible mechanisms discussed. The importance of adequate investigation is emphasized.