Perioperative management - Delorme’s procedure in rectal prolapse - general and visceral surgery
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Indications
- Symptomatic anterior rectoceles not amenable to nonsurgical treatment.
Contraindications
- Local inflammatory changes
Preoperative diagnostic work-up
- Basic proctological examination: Anoscopy, proctoscopy, rectoscopy
- Further specific diagnostic work-up depending on the concomitant changes
Special preparation
- Enema on day of surgery
- Option: Intestinal lavage (not evidence-based)
Informed consent
General:
- Bleeding
- Thrombosis
- Embolism etc.
Specific:
- Rectovaginal fistula
- Stenosis:
- Wound dehiscence with secondary healing
Anesthesia
Positioning
Operating room setup
Special instruments and fixation systems
Postoperative management
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