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Techniques in Coloproctology

, Volume 20, Issue 5, pp 337–338 | Cite as

Hiatal hernia, mitral valve prolapse and defecatory disorders: An underlying rectal prolapse?

  • M. Shalaby
  • P. Polisca
  • G. Missori
  • P. Sileri
Correspondence

Dear Sir,

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...

Keywords

Pelvic Floor Hiatal Hernia Pelvic Organ Prolapse Rectal Prolapse Mitral Valve Prolapse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was conducted in compliance with ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag Italia Srl 2016

Authors and Affiliations

  1. 1.Department of General Surgery, Policlinico Tor Vergata di Roma UOC BUniversity of Rome Tor VergataRomeItaly
  2. 2.Department of Internal Medicine, Policlinico Tor VergataUniversity of Rome Tor VergataRomeItaly

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