Abstract
External pelvic rectal suspension (EXPRESS procedure) is a newly developed operation aimed at restoring the anatomical position of the internal rectal prolapse whilst hopefully improving the underlying physiological abnormality. The procedure is carried out transperineally with limited rectal mobilisation, and where appropriate, it can be combined with surgical correction of a rectocele. The operation consists of “hitching up” the rectum and reinforcing the rectovaginal wall utilising a commercially available, long-lasting collagen biomaterial (Permacol, Tissue Science Laboratories plc, Aldershot, UK).
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References
Williams NS, Dvorkin LS, Giordano P et al (2005) EXternal Pelvic REctal SuSpension (Express procedure) for rectal intussusception, with and without rectocele repair. Br J Surg 92:598–604
Pomerri F, Zuliani M, Mazza C et al (2001) Defecographic measurements of rectal intussusception and prolapse in patients and in asymptomatic subjects. AJR Am J Roentgenol 176:641–645
Brodén B, Snellman B (1968) Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum 11:330–347
Ihre T (1990) Intussusception of the rectum and the solitary ulcer syndrome. Ann Med 22:419–423
Huber FT, Stein H, Siewert JR (1995) Functional results after treatment of rectal prolapse with rectopexy and sigmoid resection. World J Surg 19:138–143
Williams NS, Giordano P, Dvorkin LS et al (2005) External pelvic rectal suspension (the Express procedure) for full-thickness rectal prolapse: evolution of a new technique. Dis Colon Rectum 48:307–316
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© 2008 Springer-Verlag Italia
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Giordano, P., Williams, N.S. (2008). The EXPRESS Procedure for Internal Rectal Prolapse. In: Altomare, D.F., Pucciani, F. (eds) Rectal Prolapse. Springer, Milano. https://doi.org/10.1007/978-88-470-0684-3_10
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DOI: https://doi.org/10.1007/978-88-470-0684-3_10
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0683-6
Online ISBN: 978-88-470-0684-3
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