Abdominal Rectopexy with Absorbable and Non-Absorbable Materials in the Treatment for Rectal Prolapse

Kościński, Tomasz; Meissner, Wiktor; Stadnik, Honorata

doi:10.2478/v10035-011-0107-4

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Posterior mesh rectopexy could be connected with a higher rate of overall morbidity [1,2,[15][16][17][18]. Therefore, in our centre, we have chosen suture rectopexy than mesh rectopexy mainly to reduce the risk of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

et al. 2014

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The aim of the study was to assess the clinical and functional results of surgical treatment of female patients with rectal prolapse. In the period of 2003-2010, the group of 86 female patients (mean age of 67±10) underwent surgery due to rectal prolapse. The group of 24 patients (27.9 %) suffered from mild anal incontinence. They were operated on with open sutured rectopexy (18 pts), Altemeier (45 pts) and Delorme procedure (23 pts). Prior to surgery and after operation, clinical and function results were obtained. The follow-up period amounted to 32±11 months. In perineal approaches, we found mortality in one patient (1.4 %, Delorme) and anastomotic leak in four patients (5.9 %). The recurrence rate in the perineal group was 11.8 % (eight patients). We noted one recurrence in the rectopexy group (5.6 %). The Altemeier procedure revealed the most significant impact on the function of the anal sphincter muscles and resting pressures (42±7 vs 53±9 cm H 2 O; p=0.0082). If anterior levatoroplasty was added, the benefits referred also to squeeze pressures (41±8 vs 58±9 cm H 2 O; p=0.006 and 42±10 vs 56±9 cm H 2 O; p= 0.01). In the treatment of rectal prolapse, there is still no consensus about the operation of choice. Selection of the appropriate method should be based on clinical findings and patients' comorbidities to obtain maximal benefits and minimize the postoperative risk and failures.

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Section: Discussionmentioning

confidence: 99%

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

et al. 2014

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“…Relapses after abdominal procedures more likely result from technical faults such as the use of absor bable meshes for repair [9,10].…”

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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Chirurgische Therapie beim Rektumprolaps

Kroesen

2018

coloproctology

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Abdominal Rectopexy with Absorbable and Non-Absorbable Materials in the Treatment for Rectal Prolapse

Cited by 3 publications

References 8 publications

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches

Management of recurrent rectal prolapse

Chirurgische Therapie beim Rektumprolaps

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