Midterm results after perineal stapled prolapse resection for external rectal prolapse.
Dis Colon Rectum
; 56(1): 91-6, 2013 Jan.
Article
em En
| MEDLINE
| ID: mdl-23222285
ABSTRACT
BACKGROUND:
Previous studies showed that perineal stapled prolapse resection for external rectal prolapse improves continence and has short operation times and low complication rates.OBJECTIVE:
The aim of this study was to assess the midterm recurrence rates, functional results, and patient satisfaction after perineal stapled prolapse resection.DESIGN:
This was a retrospective study. SETTINGS The study was performed at a tertiary hospital in Switzerland. PATIENTS From November 2007 to October 2011, a total of 56 consecutive patients were included in the study. MAIN OUTCOMEMEASURES:
Recurrence rates, functional results according to the Wexner incontinence scale, and patient satisfaction using a visual analog scale were determined.RESULTS:
The median age was 78.5 years (range, 24-94 years), and 2 patients were men. Midterm results were available for 46 (82%) of 56 patients after a median follow-up of 25.5 months (range, 2-47 months). In 10 cases (18%) data collection was not possible. The recurrence rate at 3 years was 19.7% (95% CI 4.2%-32.7%). The Wexner incontinence score improved from a median of 14.5 presurgery to 4.0 points (p < 0.0001) after surgery. Twenty-five patients (54%) stated that their bowel movements were regular postoperatively. On a visual analog scale that measured satisfaction, the median patient score was 9 (range, 0-10), indicating high patient satisfaction.LIMITATIONS:
Limitations included the retrospective study design and the lack of clinical examinations to determine recurrence rates.CONCLUSIONS:
Perineal stapled prolapse resection is an alternative technique for treating rectal prolapse with a recurrence rate similar to the Altemeier-Mikulicz or Delorme procedures. This technique is a quick and reliable procedure for use in patients with advanced age.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Períneo
/
Complicações Pós-Operatórias
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Reto
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Procedimentos Cirúrgicos do Sistema Digestório
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Prolapso Retal
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article