Tuesday, November 4, 2014

RECTAL PROLAPSE



RECTAL PROLAPSE

Some  or  all the layer of the rectum may  prolapse  through  the
anus. 

The  prolapse  slides through a defect in the  pelvic  diaphragm,
invaginates  the anterior wall of the rectum,  intussuscepts  the
rectum and rectosigmoid.

A  congenital mesorectum is present, extending forward  from  the
posterior wall, allowing the prolapse to occur.

It is an acquired condition in elderly multiparous women in  whom
the  defect is created by stretching and atrophy of  the  levator
ani muscle.

TREATMENT

Objectives  of surgical treatment of massive rectal prolapse  are
correct of the defect in the pelvic floor.

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