Treatment of rectal mucosal prolapse

Rectal prolapse is common in children and the elderly. In children, rectal prolapse is a self-limiting disease that can be cured before the age of 5. Complete rectal prolapse in adults is more serious. In our lives, many patients are depressed all day long. They desire to be cured but the result is always difficult. Therefore, it seriously affects our study and life. Let us learn together how to treat rectal mucosal prolapse.

Treatment: PPH treatment

First, the excess rectal mucosal tissue is removed, and the prolapsed and downward rectal mucosal tissue is suspended upward. The scar formed at the anastomosis and the aseptic inflammation caused by the staples can firmly fix the rectal mucosa to the muscle layer of the rectal wall, restore the rectum to its normal anatomical position, and make it easier for feces to pass through the rectum and even be discharged from the anus. At the same time, the branches of the superior rectal artery are cut off, which reduces the blood flow to the hemorrhoids and plays a "blood flow interruption" role, thereby achieving the purpose of treating hemorrhoids.

Note: The key to this operation is the purse. The suture height of the purse should be about 4 cm above the tooth line. If it is too high, the operation will be difficult, the surgical effect will be poor, the treatment will be incomplete, and defecation may still occur after the operation. If the position is too low, it may easily injure the hemorrhoidal venous plexus, causing bleeding and postoperative pain. Regarding purse-string suture, it was originally believed that double purse-string was the best. Single purse-string suture can fully achieve the treatment goal, and double purse-string suture cannot increase the length of mucosal resection and may cause some problems, such as hematoma, bleeding, and difficulty in operation. The depth of the purse-string suture should be in the submucosal muscularis. If the surgery is too shallow, the mucosa may be torn off due to traction, or after mucosal resection, the circularly sutured mucosa layer may be torn and bleed once it is subjected to tension. If the surgery is too deep, the entire layer of the rectum may be cut. Clinical practice and observation show that PPH treatment for rectal mucosal ptosis has the advantages of short time, relatively simple operation, and rapid postoperative recovery. It is a highly potential, safe and effective method.

Patients with rectal mucosal prolapse can try this method. Secondly, they must pay attention to this type of disease. As long as it is treated well, the patient will soon have a healthy and happy life like a normal person.