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Outcome of Fecal Incontinence in Patients with Rectal Prolapse Undergoing the Altemeier Procedure with or without Posterior Levatorplasty / Desfecho de incontinência fecal em pacientes com prolapso retal submetidos ao procedimento de Altermeier com ou sem levatorplastia posterior
Bananzadeh, Alimohammad; Razavi, Hamed Shariat; Khodaei, Shahin; Al-Qanbar, Maytham Hameed; Tadayon, Seyed Mohammad Kazem; Hosseini, Seyed Vahid; Ghahramani, Leila.
  • Bananzadeh, Alimohammad; Shiraz University of Medical Sciences. Colorectal Research Center. Shiraz. IR
  • Razavi, Hamed Shariat; Shiraz University of Medical Sciences. Colorectal Research Center. Shiraz. IR
  • Khodaei, Shahin; Shiraz University of Medical Sciences. Colorectal Research Center. Shiraz. IR
  • Al-Qanbar, Maytham Hameed; University of Kufa. College of Medicine. Kufa. IQ
  • Tadayon, Seyed Mohammad Kazem; Shiraz University of Medical Sciences. Colorectal Research Center. Shiraz. IR
  • Hosseini, Seyed Vahid; Shiraz University of Medical Sciences. Colorectal Research Center. Shiraz. IR
  • Ghahramani, Leila; Shiraz University of Medical Sciences. Colorectal Research Center. Shiraz. IR
J. coloproctol. (Rio J., Impr.) ; 41(1): 52-57, Jan.-Mar. 2021. tab
Article in English | LILACS | ID: biblio-1286964
ABSTRACT
Abstract Objective To compare the fecal incontinence status of patients submitted to theAltemeier procedure with or without posterior levatorplasty. Materials and Methods Medical records of the patients who underwent the Altemeier procedure at Shahid Faghihi Hospital (in Shiraz, Iran) from 2014 to 2018 were retrospectively studied. Patients older than 17 years of age who underwent the Altemeier procedure due to complete rectal prolapse were considered. In some cases, the operation was performed with posterior levatorplasty. Rectal prolapse due to collagen or connective tissue disorders, anal/sacral anomalies, immunodeficiency, history of rectal surgery, and pelvic radiotherapy were the exclusion criteria of the present study. In addition to the demographics (including age, gender, and body mass index), the fecal incontinence status of each case was determined through theWexner scale preoperatively and 12 months after the surgery. The incontinence scores were then compared against the baseline values of the two groups of patients those with and those without posterior levatorplasty. The statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS, IBM Corp., Armonk, NY, US), software, version 21. Results In total, 53 patients (17 men and 36 women) with a mean age of 55.23 ± 18.24 years were analyzed. The comparison of the pre- and postoperative scores on theWexner scale between the two groups revealed no statistically significant difference (p >0.05). Conclusion Posterior levatorplasty during the Altemeier procedure did not result in significant improvement of the fecal incontinence outcome of the patients.
RESUMO
Resumo Objetivo Comparar o status de incontinência fecal de pacientes após o procedimento de Altemeier com e sem levatorplastia posterior. Materiais e métodos Os prontuários médicos dos pacientes submetidos ao procedimento de Altemeier no Shahid Faghihi Hospital (em Shiraz, Irã) entre 2014 e 2018 foram avaliados retrospectivamente. Pacientes com idade superior a 17 anos submetidos ao procedimento de Altemeier devido a prolapso retal completo foram considerados. Em alguns casos, a operação foi realizada com levatorplastia posterior. Prolapso retal devido a distúrbios de colágeno ou do tecido conjuntivo, anomalias anais/sacrais, imunodeficiência, histórico de cirurgia retal, e radioterapia pélvica foram os critérios de exclusão deste estudo. Além dos dados demográficos (incluindo idade, sexo, e índice de massa corporal), o status da incontinência fecal de cada caso foi determinado por meio da escala de Wexner antes e doze meses após a cirurgia. Então, as pontuações de incontinência foram comparadas aos valores de referência dos dois grupos de pacientes com e sem levatorplastia posterior. A análise estatística foi feita usandose o programa Statistical Package for the Social Sciences (SPSS, IBM Corp., Armonk, NY, EUA), versão 21. Resultados No total, 53 pacientes (17 homens e 36 mulheres) com idade média de 55.23 ± 18.24 anos foramavaliados. A comparação entre os grupos das pontuações na escala de Werner no pré e pós-operatório não revelou diferença estatisticamente significativa (p>0.05). Conclusão Levatorplastia superior durante o procedimento de Altemeier não resultou em melhora significativa do desfecho da incontinência fecal dos pacientes.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Postoperative Complications / Rectum / Rectal Prolapse / Fecal Incontinence Limits: Female / Humans / Male Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2021 Type: Article Affiliation country: Iran / Iraq Institution/Affiliation country: Shiraz University of Medical Sciences/IR / University of Kufa/IQ

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Full text: Available Index: LILACS (Americas) Main subject: Postoperative Complications / Rectum / Rectal Prolapse / Fecal Incontinence Limits: Female / Humans / Male Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2021 Type: Article Affiliation country: Iran / Iraq Institution/Affiliation country: Shiraz University of Medical Sciences/IR / University of Kufa/IQ