title: Irreducible rectal prolapse: emergency surgical management of eight cases and a review of the literature.
abstract: The management of irreducible rectal prolapse is controversial. Surgeons may attempt conservative management by application of sugar. When surgery becomes inevitable the choice of procedure varies. We reviewed eight cases and noted the clinical findings and the results of conservative and surgical management. In four cases sugar was applied first, and failed. Emergency surgery always gave good outcomes. The procedures included simple reduction, rectopexy, laparotomy with resection, Delorme's repair, and perineal resection. Our experience and review of the literature indicate that surgery should be performed early in irreducible prolapse. Perineal resection may be the most suitable emergency procedure.
authors: The Division of Colorectal Surgery, Hospital Selayang and associated Faculty of Medicine, Universiti Teknologi MARA, Noida, India.
authors: T
authors: T
authors: Seenivasagam
authors: H
authors: H
authors: Gerald
authors: N
authors: N
authors: Ghassan
authors: T
authors: T
authors: Vivek
authors: A S
authors: AS
authors: Bedi
authors: S
authors: S
authors: Suneet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012005:Rectal Prolapse / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome