Rectal Prolapse

Rectal prolapse can be treated surgically in a variety of ways, including;

Abdominal Rectopexy for Rectal Prolapse

Surgery through the abdomen called rectopexy is also called rectal prolapse surgery. The procedure is usually performed under general anaesthesia and requires several days in the hospital. The recovery time can vary, but most patients are able to return to normal activities within a few weeks. In addition to being a safe and effective treatment for rectal prolapse, rectopexy also prevents recurrence. Here's how this procedure works:

• An abdominal incision is made during a rectopexy procedure.

• The surgeon will then dissect the rectum carefully from the surrounding tissues.

• The surgeon will then suture the rectum to the sacrum and ensure that the rectum is positioned correctly.

• Sutures or staples will then be used to close the incision in the abdomen.

• In order to ensure proper healing, the patient will be closely monitored following the procedure.

Laparoscopic rectal prolapse surgery

Laparoscopic rectal prolapse surgery is a minimally invasive procedure that involves small incisions in the abdomen instead of a large incision in the rectum. This approach offers several benefits, such as reduced pain, quicker recovery, and decreased risk of complications. Most patients are able to resume their regular activities within a few weeks after undergoing this surgery. To give you a better understanding of the procedure, here is an explanation of the steps involved:

Step 1 - Anesthesia will be administered to the patient by the surgeon.

Step 2 - A laparoscope will be inserted into the abdomen after the patient has been sedated.

Step 3 - In order to insert surgical instruments, the surgeon will make small incisions in the abdomen.

Step 4 - By gently pulling the rectum out of the body, the surgeon will locate the rectum.

Step 5 -  Any excess tissue or prolapsed areas in the rectum will be removed by the surgeon.

Step 6 - Sutures will be used to reattach the rectum.

Step 7 - Sutures or staples will be used to close the incisions.

Step 8 - Before being discharged from the hospital, the patient will be monitored in the recovery room.

Robotic Surgery

As opposed to traditional open surgery, robotic surgery for rectal prolapse is a minimally invasive procedure that offers several advantages, including reduced blood loss, less pain, scarring, and shorter hospital stay. Most patients are able to return to normal activities within a few weeks following robotic surgery for rectal prolapse, as the recovery time is typically shorter than with open surgery.

• An abdominal incision will be made by the surgeon

• Through the incisions, the robotic arms will be inserted.

• A console will be used by the surgeon to control the robotic arms.

• A 3D image of the surgical site will be created by the robot.

• Robotic arms will be used by the surgeon to remove any excess tissue causing the rectal prolapse.

• Sutures will be used to secure the rectum in its proper position.

• After the robotic arms are removed, the incisions will be closed.

• For pain management, the patient will be monitored for complications.

Perineal Rectosigmoidectomy

In Perineal Rectosigmoidectomy, part of the rectum and sigmoid colon is removed via the perineum. There are several benefits to this surgery, including faster recovery time and reduced complications. Recovery time varies, but is generally shorter than traditional surgery. The procedure is as follows:

• Perineum incisions will be made by the surgeon.

• Afterwards, the surgeon will dissect and mobilise the rectum.

• At the distal rectum, the surgeon will create a suture line.

• The surgeon will then remove the redundant tissue from the rectum by pulling it down.

• If necessary, the surgeon will create a colostomy.

• A perineal incision will then be closed by the surgeon.

• Any complications will be monitored after the procedure.

Delorme Procedure

Rectal prolapse can also be treated surgically with the Delorme procedure, which involves folding and sewing a portion of the rectal wall together to strengthen it. The procedure improves bowel function and reduces the risk of recurrence. Recovery time typically varies from 2-4 weeks. Following are the steps of the Delorme procedure for treating rectal prolapse:

• Anaesthesia will be administered to the patient by the surgeon.

• In order to visualise the prolapse, the surgeon will insert a special instrument called a proctoscope into the rectum.

• Scalpels or scissors will be used by the surgeon to remove the prolapsed tissue.

• After that, the surgeon will suture the edges of the remaining rectal tissue together.

• To ensure there is no bleeding or damage, the surgeon will examine the area.

• Following the procedure, the patient will be taken to the recovery room.