Modified Gant-Miwa-Thiersch procedure (mucosal plication with anal encircling) for rectal prolapse.
Colorectal Dis
; 21(5): 588-594, 2019 05.
Article
en En
| MEDLINE
| ID: mdl-30673147
ABSTRACT
AIM:
Rectal prolapse (RP) is usually associated with elderly women and is well recognized as having a detrimental effect on quality of life. A number of surgical procedures for RP are available, but morbidity and mortality are substantial. The Gant-Miwa-Thiersch procedure (GMT) has been frequently used for RP in Japan. However, as GMT has a high recurrence rate it is not widely used elsewhere. The aim of this study was to evaluate a modified version of GMT (mGMT) in comparison with other procedures.METHOD:
mGMT was performed under spinal or local anaesthesia in 187 patients with RP. No normal mucosa was left between the tags and lateral wounds were created in the Thiersch procedure. Morbidity, mortality and recurrence rates were recorded.RESULTS:
No serious postoperative complications and no operative deaths occurred after mGMT. Eight per cent of patients suffered from infection of the strings. The overall recurrence rate after mGMT was 7.5% with a median follow-up period of 13.8 years.CONCLUSION:
On the basis of these results, we consider that mGMT has a number of advantages it is minimally invasive, does not require general anaesthesia, is technically simple to perform and is associated with satisfactory outcomes and low morbidity. mGMT should be considered an option for the treatment of RP in elderly patients.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Canal Anal
/
Recto
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Procedimientos Quirúrgicos del Sistema Digestivo
/
Prolapso Rectal
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Mucosa Intestinal
Tipo de estudio:
Etiology_studies
/
Evaluation_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Colorectal Dis
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Japón