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The role of rectal redundancy in the pathophysiology of rectal prolapse: a pilot study

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dc.contributor.authorAKMERCAN, AHMET
dc.contributor.authorFERATOĞLU, HALE
dc.contributor.authorsAttaallah W., AKMERCAN A., FERATOĞLU H.
dc.date.accessioned2023-07-03T11:00:56Z
dc.date.available2023-07-03T11:00:56Z
dc.date.issued2022-05-01
dc.description.abstractPurpose: Rectal prolapse is hypothesized to be caused due to weakness of the pelvic floor which is related to childbearing. However, half of the female patients with rectal prolapse were reported to be nulliparous and this hypothesis doesn???t explain the prolapse in males. The aim of this study is to evaluate the role of rectal redundancy in rectal prolapse pathophysiology. Methods: This study was conducted prospectively. Fourteen patients who underwent rectopexy were included in the study group. A total of 17 patients who underwent laparotomy for another reason and who have no symptoms regarding rectal prolapse were included in the control group. In order to measure the redundancy of the rectum, we have calculated the ratio of length of intraperitoneal rectum (R) to length of distance between promontorium and peritoneal reflection (PRx). The primary outcome of this study was to evaluate whether the R/PRx ratio is higher in patients with rectal prolapse compared to the control group. Results: Comparing the anatomic features showed that the length of sigmoid colon and length of PRx were not significantly different between the two groups. However, the length of intraperitoneal rectum was significantly higher in the prolapse group. Furthermore, the median R/PRx ratio in the prolapse group was significantly higher than in the control group. Conclusion: This study showed that intraperitoneal rectum in patients with rectal prolapse is significantly more redundant than in the normal population. This could be considered reasonable evidence for the role of rectal redundancy on rectal prolapse pathophysiology. [Ann Surg Treat Res 2022;102(5):289-293]
dc.identifier.citationAttaallah W., AKMERCAN A., FERATOĞLU H., "The role of rectal redundancy in the pathophysiology of rectal prolapse: a pilot study", ANNALS OF SURGICAL TREATMENT AND RESEARCH, cilt.102, sa.5, ss.289-293, 2022
dc.identifier.doi10.4174/astr.2022.102.5.289
dc.identifier.endpage293
dc.identifier.issn2288-6575
dc.identifier.issue5
dc.identifier.startpage289
dc.identifier.urihttps://hdl.handle.net/11424/290640
dc.identifier.volume102
dc.language.isoeng
dc.relation.ispartofANNALS OF SURGICAL TREATMENT AND RESEARCH
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectCerrahi Tıp Bilimleri
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectSurgery Medicine Sciences
dc.subjectCERRAHİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectSURGERY
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectCerrahi
dc.subjectSurgery
dc.subjectPhysiopathology
dc.subjectRectal prolapse
dc.subjectRedundancy
dc.subjectMANAGEMENT
dc.titleThe role of rectal redundancy in the pathophysiology of rectal prolapse: a pilot study
dc.typearticle
dspace.entity.typePublication
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local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
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relation.isAuthorOfPublication.latestForDiscovery7977c3fd-6845-4a41-bc2f-73d13c3e74a8

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