Rectal Prolapse treatment in Surat

1. Rectal Prolapse HEALING HANDS CLINIC Rectal Prolapse Treatment in Surat

2. HEALINGHANDS CLINIC Rectal Prolapse is a situation in which the rectum (end section of the large intestine) or a part of it, slip down from its normal place, and extrudes out of the anal region. While it is not always an urgent problem. However, if the condition is for long period, the worse it can get and make the patient discomfort and cause anxiety, with an adverse effect on the quality of life. Rectal Prolapse is mostly common in women (particularly above 50 years) than in men. What is Rectal Prolapse?

3. FULL THICKNESS RECTAL PROLAPSE / PROCIDENTIA: PARTIAL OR MUCOSAL PROLAPSE: OCCULT OR INTERNAL INTUSSUSCEPTION: Types of Rectal Prolapse Particularly the inner lining of the rectum extrudes through the anal region. It is generally more than 2cm and creates radial folds. It is a part of the wall ( with all three layers ) that extrudes within the anus. It is approximately 2-5cm and creates concentric hoops. The rectum collapses on itself but does not obtrude into the anus. HEALING HANDS CLINIC

4. Neurological conditions like various sclerosis, damage to the lower back or pelvis, spinal neoplasms. • What are the causes of Rectal Propalse? • Chronic cough and Cystic fibrosis in children. • Old age - Due to indulgence of the pelvic diaphragm muscles and diminished anal sphincter condition. • Constipation with a history of straining to excrete and Chronic diarrhoea. • Pregnancy, complicated vaginal births. HEALING HANDS CLINIC

5. The most common symptom is swelling that comes out near the anal opening. In the initial stages, this could happen during regular bowel movements, but as the condition advances it can happen while coughing, sneezing and as well as standing up. • In the case of Hidden prolapse, there is no lump coming out but there can be a sense of incomplete discharge after a bowel movement, as something is left inside the rectum. • Fecal incontinence leading to soiling of clothes. • Constipation • Pain/ discomfort in the region. • By the time, prolapsed mucosa generally become dense and ulcerated causing blood loss. What are symptoms? HEALING HANDS CLINIC

6. Treatment of rectal prolapse Although surgery is not always required, the definitive treatment of rectal prolapse requires surgery. The purpose of the procedure is to restrict prolapse, restore excretion function and prevent it from causing constipation or incontinence. HEALING HANDS CLINIC

7. There are various surgical procedures to restore rectal prolapse. It is best to leave the final decision about the choice of the procedure with your surgeon. It is the surgeon's which technique is used for the surgery, depending upon the patient's age, other health difficulties, the extent of the prolapse, test results and the surgeon's choice with specific techniques. SURGICAL TREATMENT OF RECTAL PROLAPSE • 1. THIERSCH PROCEDURE • This procedure is simple in which a prosthesis is used, that narrows the anal. A silver wire is used, and silicon rubber elements are used. • This method corrects the prolapse, it has no impact on consolidated constipation if it is present. This constipation is controlled with diet and lifestyle corrections. TREATMENT OF COMPLETE PROLAPSE - PROCIDENTIA 2 RECTOPEXY ( Abdominal/ Laparoscopic ) In this method, the loose rectal attachments are divided from the pelvic walls all the way to the floor of the pelvis. A rectopexy is then performed, whereby the rectum is pulled upwards and secured back to the wall of the pelvis in various ways. At times, this procedure is accompanied by resection of a portion of the bowel. Rectopexy is a major surgery done under general anaesthesia. HEALING HANDS CLINIC

8. Dr Gaurang Desai, is an experience from a decade-plus, at Healing Hands Clinic, Surat. •Having a strong experience and interest in Proctology, Dr Gaurang Desai guarantees that each patient is taken care of who steps in for consultation. Dr Gaurang Desai MBBS. MS. FISCP. ( Fellowship In Coloproctology ) HEALING HANDS CLINIC

9. Thank you. HEALING HANDS CLINIC