What you can expect
During rectal prolapse surgery
Rectal prolapse operation may be performed through the abdomen (rectopexy) — either with an open or laparoscopic incision — or in the anus area (perineum).
The operation may be performed using general anesthetic in which you sleep, a backbone in your lower half that is numb, or a mix of relaxed medicines and local anesthesia to addict your anus (perianal block).
The method of your surgeon relies on a variety of variables, such as age, underlying conditions of health, the expertise and preferences of your surgeon and the available technology. No technique is regarded as the finest overall procedure. Talk to your surgeon about your choices.
Rectal prolapse operation types:
- Rectal repair via the abdomen. Rectal repair. The surgeon pushes the rectum back into place using an incision in the belly. He or she attaches the rectum to the rear of the pelvis with a suture or mesh slant (sacrum). The surgeon removes a part of the colon, in certain situations, such as a lengthy history of constipation.
- Rectal prolapse laparoscopic operation. This technique also utilizes a number of tiny incisions into the belly. In order to correct the rectal prolapse it is inserted by the surgeon via specific surgical equipment and a small camera. In a new robotic method, the procedure is performed using a robot.
- Rectal repair prolapse in the anus region • (perineal rectosigmoidectomy). During this operation the surgeon pulls a rectum through the anus and removes a part of the rectum and sigmoid during more frequent surgery (Altemeier procedure), attaching the remaining rectum to the intestines (colon). Typically, this repair is for non-open or laparoscopic repair candidates reserved.
More usually, for brief prolapses, another technique for rectal prolapse reparation via the perineum (Delorme operation). The rectum lining is removed and the muscle layer is folded so that the rectum is reduced.
In one operation, you may have both repairs performed if you have rectal prolapse and certain additional disorders such a vaginal prolapse or pelvic body prolapse.
After surgery on the rectum
You will spend a short while restoring your bowel function in the hospital. You will start with a clear liquid drink and solid food transition. Your spending at the hospital will depend on how long, perhaps overnight, you have to do it.
In the weeks following surgery, your doctor would probably advise you to drink plenty of fluids, take stool suppleness and eat a fiber-rich diet, to prevent constipations and severe strain that may lead to a rectal prolapse. In four to six weeks following surgery, most individuals are able to return to regular activities.
Some individuals need physical therapy to learn how to utilize the muscle of the pelvic floor.