Abdominal rectopexy for rectal prolapse: a comparison of techniques

Duthie, G. S.; Bartolo, D. C. C.

doi:10.1002/bjs.1800790205

Cited by 137 publications

(91 citation statements)

References 27 publications

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“…In the series of Farouk et al [11], 91.7% of patients became continent for solid and liquid stool within 6 months after surgery. Actually 78.5% of our patients are still continent.…”

Section: Discussionmentioning

confidence: 99%

Laparotomic vs. Laparoscopic Rectopexy in Complete Rectal Prolapse

et al. 1999

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Aim: The aim of this study was to compare the functional and clinical results of laparotomic and laparoscopic rectopexy in 2 homogeneous groups of patients with complete rectal prolapse and fecal incontinence. Methods: Between January 1989 and December 1997, twenty-three patients underwent abdominal rectopexy. Thirteen patients (group A, 12 females and 1 male, mean age 57.3, range 22–76 years), and 10 patients (group B, 10 females, mean age 52.3, range 26–70 years) were submitted respectively to either Wells laparotomic or laparoscopic rectopexy by the same surgical team using the same surgical technique and materials. Before the operation a detailed clinical history was collected, and the patients were studied by inspection and digital examination of the anorectum, proctosigmoidoscopy, pancolonic transit time, dynamic defecography, anorectal manometry and anal electromyography. After the operation all patients underwent perineal physiotherapy, external electric stimulation, and perineal biofeedback. Mean follow-up was 37.1 (range 6–90) months in group A and 25.7 (range 6–49) months in group B. Values were compared by χ², Mann-Whitney U, and Wilcoxon tests as appropriate. Differences were considered significant at p < 0.05. Results: In both groups dyschezia and fecal incontinence improved significantly (p < 0.05) after the operation. The basal pressure of the anal sphincter, squeezing pressure and rectoanal reflex improved without significance, and anal-perineal pain was not significantly reduced. In group B the postoperative hospital stay was lower than in group A, with a reduction in costs. Conclusion: Laparoscopic Wells rectopexy has the same clinical and functional results as laparotomic rectopexy, but with a shorter postoperative hospital stay and lower costs.

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“…In the series of Farouk et al [11], 91.7% of patients became continent for solid and liquid stool within 6 months after surgery. Actually 78.5% of our patients are still continent.…”

Section: Discussionmentioning

confidence: 99%

Laparotomic vs. Laparoscopic Rectopexy in Complete Rectal Prolapse

et al. 1999

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“…This allows the chronically dilated sphincter to regain its normal structure and function. Patients suffering from recurrent prolapse may develop damage to the pudendal nerves and the anal sphincter complex [11]. Therefore, successive manometric testing in patients with recurrent disease suggests that faecal incontinence may persist [4].…”

Section: Discussionmentioning

confidence: 99%

Management of recurrent rectal prolapse

Kościński¹,

Hermann²,

Banasiewicz³

2013

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K Ke ey y w wo or rd ds s: : recurrent rectal prolapse, redo surgery, abdominal rectopexy. S Sł ło ow wa a k kl lu uc cz zo ow we e: : nawrotowe wypadanie odbytnicy, operacje wtórne, rektopeksja brzuszna. This study entered 16 patients after redo surgery for recurrent rectal prolapse between 1998 and 2010. There were 14 female and 2 male patients aged from 42 to 92 (mean age 69 years). Primary abdominal rectopexy was performed in 5 patients, 3 patients underwent perineal rectosigmoidectomy, 1 patient had abdominal sigmoidectomy, Delorme procedure was applied in 2 patients, Thiersch encirclement in 4 patients and perineoplasty in 1 patient. There were redo operations for recurrent prolapse as follows: abdominal rectopexy in 7 patients, perineocolporectopexy in 3 females, rectopexy with sigmoidectomy in 2 patients, Altemeier operation in 7 patients and Longo procedure in 1 patient. R Re es su ul lt ts s: : Permanent correction of prolapse was successful in 12 (75%) patients. Following relapses were recognized in 3 patients who underwent Altemeier operation and in 1 patient after the Longo procedure. There were no statistically significant differences regarding faecal incontinence and obstructed defecation between the patients before and after the operation. C Co on nc cl lu us si io on ns s: : Abdominal rectopexy is the method of choice for the treatment of recurrent rectal prolapse. Rectopexy combined with correction of associated anatomical defects of the pelvic floor results in a better functional outcome. Redo operations with the perineal approach are burdened with a high rate of recurrence.

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“…Transabdominal surgical methods are associated with a lower risk of recurrence and better functional effects compared with surgeries using the perineal approach, and therefore they are methods of choice for young patients not burdened with concomitant diseases (1,11,26,27).…”

Section: Discussionmentioning

confidence: 99%

Rectal Prolapse in Young Women

Wnęk¹,

Waraczewski²,

Chalcarz³

et al. 2013

Polish Journal of Surgery

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Rectal prolapse belongs to the group of rare diseases of the rectum and anus. It is mostly observed in elderly multiparous women in the seventh and eighth decade. The precise cause of this pathology is not thoroughly understood that is why there are no optimal standards of treatment. the aim of the study was to present pathophysiology, diagnostics and optimal surgical procedures employed in young patients with rectal prolapse. material and methods. Out of a 56-patient group treated in Department of General and Colorectal Surgery in the years 2006-2011 a smaller one consisting of 11 young women between the ages 20-40 was selected. According to the literature this is a very rare time of the mentioned pathology occurrence. In the studied females grade of rectal prolapse as well as faecal incontinence based on Jorge-Wexner's (Cleveland) scale were assessed before and after the operative treatment. All of them underwent transabdominal Wells and Frikman-Goldberg prolapse procedures. Results. Transabdominal approaches repair pathologies of the pelvic floor and have promising longstanding results improving quality of life. No rectal prolapse recurrences were observed. The mean score of the Wexner's grading system was 7.81 diminishing to 1.9 points postoperatively. Conclusions. Rectal prolapse if untreated, is a pathology that substantially changes patients' quality of life for the worse. Individual, standardized surgical approach to each patient is necessary. Transabdominal methods carry a low risk of complications and improve quality of life of young patients enabling a relatively quick return to normal life.

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Abdominal rectopexy for rectal prolapse: a comparison of techniques

Cited by 137 publications

References 27 publications

Laparotomic vs. Laparoscopic Rectopexy in Complete Rectal Prolapse

Laparotomic vs. Laparoscopic Rectopexy in Complete Rectal Prolapse

Management of recurrent rectal prolapse

Rectal Prolapse in Young Women

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