title: Trans-anal endoscopic microsurgery for internal rectal prolapse.
abstract: Internal rectal prolapse can lead to obstructed defecation, faecal incontinence and pain. In treatment of frail or technically difficult patients, a perineal approach is often used, such as a Delorme's or a STARR. However, in case of very high take-off prolapse, these procedures are challenging if not unsuitable. We present trans-anal endoscopic microsurgery as surgical option for management of this uncommon type of rectal prolapse in specific cases.
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK. bobbloemendaal@gmail.com.
authors.forename: A L A
authors.initials: AL
authors.lastname: Bloemendaal
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
authors.forename: M
authors.initials: M
authors.lastname: De Schepper
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
authors.forename: A
authors.initials: A
authors.lastname: Mishra
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
authors.forename: R
authors.initials: R
authors.lastname: Hompes
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
authors.forename: O M
authors.initials: OM
authors.lastname: Jones
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
authors.forename: I
authors.initials: I
authors.lastname: Lindsey
authors.affiliation: Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
authors.forename: C
authors.initials: C
authors.lastname: Cunningham
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery; D003248:Constipation / Q000209:etiology / Q000601:surgery; D003672:Defecation / Q000502:physiology; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008488:Medical Illustration; D008875:Middle Aged; D012005:Rectal Prolapse / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D000067369:Transanal Endoscopic Microsurgery / Q000379:methods*
keywords: Internal rectal prolapse; Trans-anal endoscopic microsurgery; Trans-anal endoscopic rectal prolapse procedure