title: Reduction of a large incarcerated rectal prolapse by use of an elastic compression wrap.
abstract: Reduction of a large rectal prolapse may be difficult because of significant edema that collects in the rectal tissues. If reduction is unsuccessful, an emergent laparotomy and internal reduction is required. A wide elastic wrap applied around the prolapsed rectum provides progressive compression, which reduces the amount of edema, allowing subsequent manual reduction. This novel technique is simple, safe, inexpensive, and can easily be performed in the emergency department setting. Manual reduction, by this or other described methods, should be attempted before emergent laparotomy for incarcerated rectal prolapse is performed.
authors.affiliation: Department of Surgery, Mount Sinai School of Medicine, New York, New York, USA. umat.sarpel@mssm.edu
authors.forename: Umut
authors.initials: U
authors.lastname: Sarpel
authors.forename: Brian P
authors.initials: BP
authors.lastname: Jacob
authors.forename: Randolph M
authors.initials: RM
authors.lastname: Steinhagen
mesh_terms: D000328:Adult; D001458:Bandages; D004487:Edema / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D012005:Rectal Prolapse / Q000150:complications / Q000473:pathology / Q000628:therapy*