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Techniques in Coloproctology

, Volume 22, Issue 12, pp 919–931 | Cite as

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

  • G. Gallo
  • J. Martellucci
  • G. Pellino
  • R. Ghiselli
  • A. Infantino
  • F. Pucciani
  • M. TrompettoEmail author
Review Article

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.

Keywords

External rectal prolapse Rectal procidentia Non-operative management Surgical treatment Abdominal approach Perineal approach 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all participants included in the study.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • G. Gallo
    • 1
    • 2
  • J. Martellucci
    • 3
  • G. Pellino
    • 4
    • 5
  • R. Ghiselli
    • 6
  • A. Infantino
    • 7
  • F. Pucciani
    • 8
  • M. Trompetto
    • 1
    Email author
  1. 1.Department of Colorectal SurgerySanta Rita ClinicVercelliItaly
  2. 2.Department of Surgical and Medical SciencesUniversity “Magna Graecia” of CatanzaroCatanzaroItaly
  3. 3.Department of General, Emergency and Minimally Invasive SurgeryCareggi University HospitalFlorenceItaly
  4. 4.Department of Medical, Surgical, Neurological, Metabolic and Ageing Sciences, Unit of General SurgeryUniversità della Campania “Luigi Vanvitelli”NaplesItaly
  5. 5.Colorectal UnitHospital Universitario y Politecnico La Fe, University of ValenciaValenciaSpain
  6. 6.Department of General SurgeryUniversità Politecnica delle MarcheAnconaItaly
  7. 7.Department of SurgerySanta Maria dei Battuti HospitalSan Vito al TagliamentoItaly
  8. 8.Department of Surgery and Translational MedicineUniversity of FlorenceFlorenceItaly

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