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Perioperative management - Delorme’s procedure in rectal prolapse

general and visceral surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Indications

    • Symptomatic anterior rectoceles not amenable to nonsurgical treatment.

  2. Contraindications

    • Local inflammatory changes

  3. Preoperative diagnostic work-up

    • Basic proctological examination: Anoscopy, proctoscopy, rectoscopy
    • Further specific diagnostic work-up depending on the concomitant changes

  4. Special preparation

    • Enema on day of surgery
    • Option: Intestinal lavage (not evidence-based)

  5. Informed consent

    General:

    • Bleeding
    • Thrombosis
    • Embolism etc.

    Specific:

    • Rectovaginal fistula
    • Stenosis:
    • Wound dehiscence with secondary healing
Anesthesia

Depending on the general condition of the patient:General anesthesia (General anesthesia, Laryngeal

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general and visceral surgery

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