Management of Rectal Prolapse

Flashcards covering the management of partial and complete thickness rectal prolapse including perineal and abdominal surgical procedures.

What is the recommended management for a first episode of partial thickness prolapse?

Digital repositioning

What are the management options for recurrent partial thickness prolapse?

Thiersch wiring and sclerotherapy

What are the characteristics of perineal procedures for complete thickness prolapse?

They are easy to perform and have less complications, but have a high recurrence rate.

What are the characteristics of abdominal procedures for complete thickness prolapse?

They are difficult to perform and have increased complications, but have the least recurrence rate.

Which perineal procedures are used for complete thickness prolapse?

1. Thiersch repair (purse string sutures)
2. Delorme's repair (plication of prolapse)
3. Altemeier (perineal rectosigmoidectomy)

What technique is used in a Thiersch repair for complete thickness prolapse?

Purse string sutures

What is Delorme's repair for complete thickness prolapse?

Plication of prolapse

Child pugh score

What is the procedure name for Altemeier repair?

Perineal rectosigmoidectomy

Which abdominal procedures are used for complete thickness prolapse?

1. Ripstein rectopexy
2. Well rectopexy
3. Goldberg-Frykman (resection rectopexy)

What type of procedure is Goldberg-Frykman for complete thickness prolapse?

Resection rectopexy