Perineal Stapled Rectal Prolapse Resection in Elderly Patients: Long-term Follow-up.
Dis Colon Rectum
; 61(11): 1316-1319, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-30239390
ABSTRACT
BACKGROUND:
Full-thickness rectal prolapse has a significant negative impact on quality of life. The therapeutic options, specifically in elderly patients, are imperfect. Perineal stapled rectal prolapse resection is a novel operation for treating external rectal prolapse. Long-term follow-up following this procedure is lacking. In our study, we report a long-term follow-up of 30 patients, analyzing the long-term recurrence rate, morbidity, and functional outcome.OBJECTIVE:
This study aimed to examine the long-term results of perineal stapled rectal resection in a population unfit for prolonged general anesthesia.DESIGN:
This was a cohort study with a prospective follow-up. SETTINGS This study was conducted at a single tertiary referral center. PATIENTS Patients undergoing perineal stapled rectal resection from January 2010 to June 2013 were included.INTERVENTIONS:
Perineal stapled rectal prolapse resection was performed. MAIN OUTCOMEMEASURES:
The primary outcome measured was prolapse recurrence.RESULTS:
A total of 30 patients underwent the surgical intervention. The median follow-up period was 61 months (range, 37-65). No intraoperative or postoperative complications occurred. Six patients (20%) had recurrent rectal prolapse, and continence was not achieved in any of the patients. Two patients who had recurrence underwent a redo perineal stapled rectal resection.LIMITATIONS:
This study was limited by the small cohort of selected patients.CONCLUSIONS:
Frail patients that can only endure a short procedure under regional anesthesia should be considered for perineal stapled rectal prolapse resection. The lack of mortality and morbidity, specifically in this population, along with the low long-term recurrence rates, make this a favorable surgical alternative. See Video Abstract at http//links.lww.com/DCR/A745.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Qualidade de Vida
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Prolapso Retal
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Grampeamento Cirúrgico
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Colectomia
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Efeitos Adversos de Longa Duração
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article