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Techniques in Coloproctology
Published in: Techniques in Coloproctology 10/2017

01-10-2017 | Video Forum

Perineal rectosigmoidectomy combined with TAMIS rectopexy: a NOTES operation for rectal procidentia

Authors: A. Althoff, R. Rowen, M. Dakermandji, J. Kelly, S. Atallah

Published in: Techniques in Coloproctology | Issue 10/2017

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Excerpt

Perineal rectosigmoidectomy (PRS) is one of the most antiquated of all natural orifice operations [1] and has an established history [2]. The appeal of this technique for the repair of rectal prolapse has undergone a rebirth as colorectal surgeons have realized the value of completely avoiding abdominal access trauma [3]. A perceived high rate of recurrent prolapse has pigeonholed this approach as one for the elderly and infirm patients who are otherwise unfit to undergo abdominal surgery. Interestingly, however, this has not been validated in clinical studies as the PORSPER trial (2013) [4], and two Cochrane database reviews conducted in 1999 [5] and in 2008 [6] demonstrated no discernible difference in rectal prolapse recurrence rates regardless of the surgical approach utilized. In fact, some experts believe PRS could be a rectal prolapse operation for all ages [7]. …
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Literature
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Metadata
Title
Perineal rectosigmoidectomy combined with TAMIS rectopexy: a NOTES operation for rectal procidentia
Authors
A. Althoff
R. Rowen
M. Dakermandji
J. Kelly
S. Atallah
Publication date
01-10-2017
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 10/2017
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-017-1692-y

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