Document Detail


Combined Thiersch's procedure and subanodermal coagulation for complete rectal prolapse in the elderly.
MedLine Citation:
PMID:  16809913     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The author describes a modification of Thiersch's procedure in patients with complete rectal prolapse by inducing fibrosis at the anal verge through circumferential subanodermal coagulation using a radiofrequency device. MATERIALS AND METHODS: An Ellman radiofrequency generator was used for coagulation. The postoperative events were recorded. The patients were followed over a period of 2 years to assess late outcome. RESULTS: Postoperative complications were observed in 2 patients. One of these developed suppuration in the tract of the encircling wire that needed removal, while the other had a recurrence due to loosening of the wire. At a 2-year follow-up, 3 patients developed recurrence while 1 had a persistent complaint of fecal incontinence. CONCLUSION: This study shows that a combined procedure of radiofrequency coagulation followed by Thiersch's circumanal wiring is quick and easy to perform with no formidable morbidity in elderly patients who are otherwise considered at high risk for definitive surgical procedures.
Authors:
Pravin J Gupta
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Publication Detail:
Type:  Journal Article     Date:  2006-06-30
Journal Detail:
Title:  Digestive surgery     Volume:  23     ISSN:  0253-4886     ISO Abbreviation:  Dig Surg     Publication Date:  2006  
Date Detail:
Created Date:  2006-09-13     Completed Date:  2006-12-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501808     Medline TA:  Dig Surg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  146-9     Citation Subset:  IM    
Affiliation:
Gupta Nursing Home, Nagpur, India. drpjg_ngp@sancharnet.in
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Catheter Ablation / methods*
Female
Follow-Up Studies
Humans
Male
Rectal Prolapse / surgery*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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