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Consensus Statement of the Italian Society of Colorectal Surgery (SICCR): management and treatment of complete rectal prolapse

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Abstract

Rectal prolapse, rectal procidentia, “complete” prolapse or “third-degree” prolapse is the full-thickness prolapse of the rectal wall through the anal canal and has a significant impact on quality of life. The incidence of rectal prolapse has been estimated to be approximately 2.5 per 100,000 inhabitants with a clear predominance among elderly women. The aim of this consensus statement was to provide evidence-based data to allow an individualized and appropriate management and treatment of complete rectal prolapse. The strategy used to search for evidence was based on application of electronic sources such as MEDLINE, PubMed, Cochrane Review Library, CINAHL and EMBASE. The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by the American College of Gastroenterology’s Chronic Constipation Task Force. Five evidence levels were defined. The recommendations were graded A, B, and C.

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Authors and Affiliations

  1. Department of Colorectal Surgery, Santa Rita Clinic, Vercelli, Italy

    G. Gallo & M. Trompetto

  2. Department of Surgical and Medical Sciences, University “Magna Graecia” of Catanzaro, Catanzaro, Italy

    G. Gallo

  3. Department of General, Emergency and Minimally Invasive Surgery, Careggi University Hospital, Florence, Italy

    J. Martellucci

  4. Department of Medical, Surgical, Neurological, Metabolic and Ageing Sciences, Unit of General Surgery, Università della Campania “Luigi Vanvitelli”, Naples, Italy

    G. Pellino

  5. Colorectal Unit, Hospital Universitario y Politecnico La Fe, University of Valencia, Valencia, Spain

    G. Pellino

  6. Department of General Surgery, Università Politecnica delle Marche, Ancona, Italy

    R. Ghiselli

  7. Department of Surgery, Santa Maria dei Battuti Hospital, San Vito al Tagliamento, Pordenone, Italy

    A. Infantino

  8. Department of Surgery and Translational Medicine, University of Florence, Florence, Italy

    F. Pucciani

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  1. G. Gallo
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  2. J. Martellucci
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  3. G. Pellino
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  4. R. Ghiselli
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  5. A. Infantino
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  6. F. Pucciani
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  7. M. Trompetto
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Correspondence to M. Trompetto.

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Gallo, G., Martellucci, J., Pellino, G. et al. Consensus Statement of the Italian Society of Colorectal Surgery (SICCR): management and treatment of complete rectal prolapse. Tech Coloproctol 22, 919–931 (2018). https://doi.org/10.1007/s10151-018-1908-9

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  • DOI: https://doi.org/10.1007/s10151-018-1908-9

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