Hiatal hernia, mitral valve prolapse and defecatory disorders: An underlying rectal prolapse?
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The treatment of rectal prolapse (RP) remains a surgical challenge with a recurrence rate as high as 30 %, being usually between 10 and 20 %. These results lead to a continuous search for the ideal surgical treatment. The majority of failures might be secondary to patients' selection among what is probably an excessively large number of surgical options. The aim is a tailored surgical approach that, addressing all the anatomical changes associated with rectal prolapse, may reduce recurrence rates. Clinical experience shows that sometimes even when surgical results are good with satisfactory anatomical restoration, functional results are not. Ultra-structural changes might exist due to chronic straining as well as pre-existing disorders leading to general pelvic floor weakness. If these factors are recognized before surgery, they might affect the patient’s choice of procedure thus reducing recurrence.
Recently, we evaluated longer-term results of 183 patients who underwent...
KeywordsPelvic Floor Hiatal Hernia Pelvic Organ Prolapse Rectal Prolapse Mitral Valve Prolapse
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The study was conducted in compliance with ethical standards.
Informed consent was obtained from all individual participants included in the study.