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  • Title: [Transsacral rectopexy for treatment of bleeding rectal prolapse in a patient with severe liver disease: case report].
    Author: Bringel RW, Sobrado CW, Nahas SC, Habr-Gama A.
    Journal: Rev Hosp Clin Fac Med Sao Paulo; 1998; 53(6):317-20. PubMed ID: 10413948.
    Abstract:
    Rectal procidentia is an uncommon but debilitating condition that often affects elderly patients with significant medical problems. Fecal incontinence is usually frequent. Abdominal rectopexy with or without sigmoid resection repeatedly demonstrate lower recurrence rates (2-4%) but in high-risk patients, morbidity and mortality may be significant. Perineal or transacral approaches may be used in these patients to avoid the complications of abdominal procedures and general anesthesia. The lack of experience with transacral approach has limited your utilization by colon and rectal surgeons. We describe a case of rectal procidentia in patient with severe liver disease (Child C) sucssefull treated with transacral rectopexy, detailing the technique used.
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