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Individualisierte Chirurgie des Rektumprolapses

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Gastrointestinale Operationen und technische Varianten

Zusammenfassung

Patienten zur operativen Behandlung des Rektumprolapses können in folgende Gruppen eingeteilt werden: Patienten mit Operation über den perinealen Zugang; Patienten mit Operation über den abdominalen Zugang. Wegen der Vielzahl der operativen Varianten und technischen Modifikationen können die schwierigen Entscheidungssituationen bereits bei der Wahl des operativen Verfahrens anstehen und sind mit allgemeinen und lokalen Patientenfaktoren verbunden. Zu den lokalen Patientenfaktoren zählen Prolapslänge, Kombination des Rektumprolapses mit anderen Beckenbodensenkungserkrankungen (Genitalprolaps, Rektozele, Zystozele, Deszendens-perinei-Syndrom usw.), spezifische anatomische Rektumkonstellationen (stark verdickte Rektumwand, stark erweitertes Rektumlumen mit großem Kalibersprung zwischen Rektum und Sigma) sowie Voroperationen an Beckenorganen und Perineum und ein Analmukosaprolaps.

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Correspondence to Michael Korenkov Prof. Dr. med. .

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Korenkov, M. et al. (2013). Individualisierte Chirurgie des Rektumprolapses. In: Korenkov, M., Germer, CT., Lang, H. (eds) Gastrointestinale Operationen und technische Varianten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32259-4_11

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  • DOI: https://doi.org/10.1007/978-3-642-32259-4_11

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