Abstract
External pelvic rectal suspension (Express procedure) is a developing operation aimed at restoring the anatomical position of the internal rectal prolapse, while hopefully improving the underlying physiological abnormality. The procedure is carried out transperineally with limited rectal mobilization and, where appropriate, can be combined with surgical correction of a rectocele. The operation consists of “hitching up” the rectum and reinforcement of the rectovaginal wall utilizing a commercially available long-lasting collagen biomaterial (Permacol™; Tissue Science Laboratories plc, Aldershot, UK).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
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. 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
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Italia
About this chapter
Cite this chapter
Giordano, P., Cashmane, S. (2014). The Express Procedure for Internal Rectal Prolapse. In: Gaspari, A.L., Sileri, P. (eds) Pelvic Floor Disorders: Surgical Approach. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5441-7_17
Download citation
DOI: https://doi.org/10.1007/978-88-470-5441-7_17
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5440-0
Online ISBN: 978-88-470-5441-7
eBook Packages: MedicineMedicine (R0)