Yıl: 2021 Cilt: 37 Sayı: 2 Sayfa Aralığı: 151 - 155 Metin Dili: İngilizce DOI: 10.47717/turkjsurg.2021.5188 İndeks Tarihi: 04-06-2022

An experimental study on the pathophysiology of rectal prolapse

Öz:
Objective: For decades, rectal prolapse has been hypothesized to be caused due to laxity or weakness of the pelvic floor muscles which is often sup- posed to be related to childbearing in females. However, 50% of females with rectal prolapse have been reported to be nulliparous and this hypothesis does not explain the incidence of rectal prolapse in males. The aim of this study was to evaluate the role of rectal redundancy in rectal prolapse patho- physiology. Material and Methods: Nineteen female Sprague Dawley rats (250-300 g) at 16 weeks of age were obtained from the animal center. Rats were divided into two groups as rectal mobilization (study) group (n= 9) and sham-operated control (n= 10) group. In the study group, soft dissection was applied and rectum were mobilized up from the pelvic floor to create a redundant or hypermobilized rectum.The primary outcome was the rate of rectal prolapse after rectal mobilization. Results: As compared to the sham-operated control group, in which none of the rats had rectal prolapse throughout the post-surgical period, rectal prolapse was observed in four of the rats in the rectal mobilization group (0% vs. 44%; p= 0.006). Being unable to increase the length of the rectums of the rats, but using only mobilization to create the redundancy, and the lack of data regarding any adhesions after surgery are the main limitations of this study. Conclusion: This study showed the role of rectal redundancy on the rectal prolapse pathophysiology.
Anahtar Kelime:

Rektal prolapların patofizyolojisi üzerine deneysel bir çalışma

Öz:
Giriş ve Amaç: Yıllardır, rektal prolapsusun, genellikle kadınlarda çocuk doğurma ile ilgili olduğu düşünülen pelvik taban kaslarının gevşekliği veya zayıflığından kaynaklandığı varsayılmaktadır. Ancak rektal prolapsusu olan kadınların %50’sinin nullipar olduğu bildirilmiştir ve bu hipotez erkeklerde rektal prolapsus etiyolojsini açıklamamaktadır. Bu çalışmanın amacı, rektal prolapsus patofizyolojisinde rektal fazlalığın rolünü değerlendirmektir. Gereç ve Yöntem: Hayvan merkezinden 16 haftalık 19 dişi Sprague Dawley sıçanı (250-300 g) elde edildi. Sıçanlar, rektal mobilizasyon (çalışma) grubu (n= 9) ve kontrol (n= 10) grubu olarak iki gruba ayrıldı. Çalışma grubunda fazlalık veya hipermobilize bir rektum oluşturmak için yumuşak diseksiyon uygulandı ve rektum mobilize edildi. birinci çıkarım rektal mobilizasyon sonrası rektal prolapsus oranıydı. Bulgular: Ameliyat sonrası dönem boyunca kontrol grubundaki sıçanların hiçbirinde rektal prolapsus görülmezken, mobilizasyon grubundaki sıçanların dördünde rektal prolaps gözlendi (%0’a karşı %44; p= 0,006). Sıçanların rektumlarının uzunluğunu uzatamamak, sadece mobilizasyon kullanmak ve ameliyat sonrası herhangi bir yapışıklığa ilişkin veri eksikliği bu çalışmanın ana kısıtlamalarıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Tarcan A, Menek G, ERDAŞ F, İNCEOĞLU İ, Kankılıç M, Yılmazer A, Yegen B (2021). An experimental study on the pathophysiology of rectal prolapse. , 151 - 155. 10.47717/turkjsurg.2021.5188
Chicago Tarcan Ahmet,Menek Göksel,ERDAŞ F. Aleyna,İNCEOĞLU İbrahim Yusuf,Kankılıç Makbule Pervin,Yılmazer Ahmet Hakan,Yegen Berrak An experimental study on the pathophysiology of rectal prolapse. (2021): 151 - 155. 10.47717/turkjsurg.2021.5188
MLA Tarcan Ahmet,Menek Göksel,ERDAŞ F. Aleyna,İNCEOĞLU İbrahim Yusuf,Kankılıç Makbule Pervin,Yılmazer Ahmet Hakan,Yegen Berrak An experimental study on the pathophysiology of rectal prolapse. , 2021, ss.151 - 155. 10.47717/turkjsurg.2021.5188
AMA Tarcan A,Menek G,ERDAŞ F,İNCEOĞLU İ,Kankılıç M,Yılmazer A,Yegen B An experimental study on the pathophysiology of rectal prolapse. . 2021; 151 - 155. 10.47717/turkjsurg.2021.5188
Vancouver Tarcan A,Menek G,ERDAŞ F,İNCEOĞLU İ,Kankılıç M,Yılmazer A,Yegen B An experimental study on the pathophysiology of rectal prolapse. . 2021; 151 - 155. 10.47717/turkjsurg.2021.5188
IEEE Tarcan A,Menek G,ERDAŞ F,İNCEOĞLU İ,Kankılıç M,Yılmazer A,Yegen B "An experimental study on the pathophysiology of rectal prolapse." , ss.151 - 155, 2021. 10.47717/turkjsurg.2021.5188
ISNAD Tarcan, Ahmet vd. "An experimental study on the pathophysiology of rectal prolapse". (2021), 151-155. https://doi.org/10.47717/turkjsurg.2021.5188
APA Tarcan A, Menek G, ERDAŞ F, İNCEOĞLU İ, Kankılıç M, Yılmazer A, Yegen B (2021). An experimental study on the pathophysiology of rectal prolapse. Turkish Journal of Surgery, 37(2), 151 - 155. 10.47717/turkjsurg.2021.5188
Chicago Tarcan Ahmet,Menek Göksel,ERDAŞ F. Aleyna,İNCEOĞLU İbrahim Yusuf,Kankılıç Makbule Pervin,Yılmazer Ahmet Hakan,Yegen Berrak An experimental study on the pathophysiology of rectal prolapse. Turkish Journal of Surgery 37, no.2 (2021): 151 - 155. 10.47717/turkjsurg.2021.5188
MLA Tarcan Ahmet,Menek Göksel,ERDAŞ F. Aleyna,İNCEOĞLU İbrahim Yusuf,Kankılıç Makbule Pervin,Yılmazer Ahmet Hakan,Yegen Berrak An experimental study on the pathophysiology of rectal prolapse. Turkish Journal of Surgery, vol.37, no.2, 2021, ss.151 - 155. 10.47717/turkjsurg.2021.5188
AMA Tarcan A,Menek G,ERDAŞ F,İNCEOĞLU İ,Kankılıç M,Yılmazer A,Yegen B An experimental study on the pathophysiology of rectal prolapse. Turkish Journal of Surgery. 2021; 37(2): 151 - 155. 10.47717/turkjsurg.2021.5188
Vancouver Tarcan A,Menek G,ERDAŞ F,İNCEOĞLU İ,Kankılıç M,Yılmazer A,Yegen B An experimental study on the pathophysiology of rectal prolapse. Turkish Journal of Surgery. 2021; 37(2): 151 - 155. 10.47717/turkjsurg.2021.5188
IEEE Tarcan A,Menek G,ERDAŞ F,İNCEOĞLU İ,Kankılıç M,Yılmazer A,Yegen B "An experimental study on the pathophysiology of rectal prolapse." Turkish Journal of Surgery, 37, ss.151 - 155, 2021. 10.47717/turkjsurg.2021.5188
ISNAD Tarcan, Ahmet vd. "An experimental study on the pathophysiology of rectal prolapse". Turkish Journal of Surgery 37/2 (2021), 151-155. https://doi.org/10.47717/turkjsurg.2021.5188