Long‐term outcomes of surgical management of rectal prolapse

Ng, Zi Qin; Levitt, Michael D.; Makin, Gregory; Platell, Cameron

doi:10.1111/ans.15264

Cited by 8 publications

(5 citation statements)

References 27 publications

(63 reference statements)

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“…Long-term application of conservative therapy not only reduces anal function, but also increase the postoperative recurrence rate [3] . Surgery is the primary and effective treatment for CRP; however, due to the low incidence of CRP (2%-4%) and patient heterogeneity, conventional CRP surgery has failed to achieve the desired therapeutic effect [4,5] . The complication rate after traditional Altemeier is as high as 60%, and some patients may also suffer serious complications such as anastomotic leakage, fecal incontinence, and even death after surgery [6] .…”

Section: Introduction：mentioning

confidence: 99%

To Explore the Efficacy of Modified Altemeier Procedure in the Treatment of Complete Rectal Prolapse

Zhai¹,

Wang²,

Han³

et al. 2023

Preprint

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Abstract Objective：To explore the efficacy of modified Altemeier procedure in the treatment of complete rectal prolapse. Method and Main outcome measures:The enrolled patients with complete rectal prolapse were divided into traditional and modified groups according to the surgical approach.The primary outcomes included complication rates, time and severity of postoperative recurrence, changes in pre- and postoperative Wexner anal incontinence scores and ED-5Q-5L quality-of-life autonomy scores. Secondary outcomes included operative time, intraoperative bleeding, and length of hospital stay. Results:The overall complication rates were 33.33% and 6.67% and recurrence rates were 26.67% and 7% in the traditional and modified groups, respectively (P<0.05)；The duration of surgery in the traditional group was shorter than that in the modified group, but the intraoperative bleeding was significantly higher than that in the modified group, and all differences were statistically significant (P<0.05)；The length of stay and in the two groups, respectively, with no statistically significant difference (P>0.05)；The postoperative Wexner incontinence score and ED-5Q-5L quality of life in the modified group were found to be significantly better than those in the traditional group at 8 months postoperative follow-up, with statistically significant differences (P<0.05). Conclusions:Pathological dilatation of the distal rectum may be another anatomical defect in complete rectal prolapse. The results of the clinical study confirmed the clinical effectiveness and safety of the modified Altmeyer procedure, which has high clinical application value.

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Section: Introduction：mentioning

confidence: 99%

To Explore the Efficacy of Modified Altemeier Procedure in the Treatment of Complete Rectal Prolapse

Zhai¹,

Wang²,

Han³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Long-term application of conservative therapy not only reduces anal function but also increases the postoperative recurrence rate [3] . Surgery is the primary and effective treatment for CRP; however, due to the low incidence of CRP (2%-4%) and patient heterogeneity, conventional CRP surgery has failed to achieve the desired therapeutic effect [4,5] .…”

Section: Introductionmentioning

confidence: 99%

To explore the efficacy of modified Altemeier procedure in the treatment of complete rectal prolapse——A multicenter clinical study

Zhai

Wang

et al. 2023

Preprint

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Background： Currently, the Altemeier procedure is clinically ineffective, with a high rate of postoperative recurrence and complications.To explore the efficacy of the modified Altemeier procedure in the treatment of complete rectal prolapse. Method and Main outcome measures:The enrolled patients with complete rectal prolapse were divided into traditional and modified groups according to the surgical approach. The primary outcomes included complication rates, time and severity of postoperative recurrence, changes in pre-and postoperative Wexner anal incontinence scores, and ED-5Q-5L quality-of-life autonomy scores. Secondary outcomes included operative time, intraoperative bleeding, and length of hospital stay. Conclusions: Pathological dilatation of the distal rectum may be another anatomical defect in complete rectal prolapse. The results of the clinical study confirmed the clinical effectiveness and safety of the modified Altmeyer procedure, which has high clinical application value.

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“…Improper selection of surgical methods could lead to the recurrence of prolapse or disorder in defecation. [ 7 – 9 ] New therapeutic regimes are needed because they cannot solve the patient's pain with surgery alone.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of Buzhong Yiqi decoction combined with surgery for rectal prolapse

et al. 2020

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Background: It is extremely easy for rectal prolapse to relapse with surgery alone. Clinical practice indicates that Buzhong Yiqi decoction combined with surgery has certain therapeutic advantages, while there is a lack of evidence-based medicine support. This study aimed to systematically investigate the efficacy and safety of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse. Methods: The English databases (PubMed, Embase, Web of Science, the Cochrane Library) and Chinese databases (China National Knowledge Infrastructure [CNKI], Wanfang, China Science and Technology Journal Database [VIP], China Biology Medicine disc) were searched by computer. In addition, Baidu Scholar and Google Scholar were searched manually. A randomized controlled clinical study of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse was performed from the establishment of databases to September 2020. Two investigators independently conducted data extraction and assessed the literature quality of the included studies. The Revman5.3 software was used for meta-analysis of the included literature. Results: The efficacy and safety of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse were evaluated in terms of efficiency, symptom score, recurrence rate, adverse reaction rate, and so on. Conclusions: Thisstudy provides reliable evidence-based support for the clinical application of Buzhong Yiqi decoction combined with surgery in the treatment of rectal prolapse. OSF Registration number: DOI: 10.17605/OSF.IO/K3PJX.

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Long‐term outcomes of surgical management of rectal prolapse

Cited by 8 publications

References 27 publications

To Explore the Efficacy of Modified Altemeier Procedure in the Treatment of Complete Rectal Prolapse

To Explore the Efficacy of Modified Altemeier Procedure in the Treatment of Complete Rectal Prolapse

To explore the efficacy of modified Altemeier procedure in the treatment of complete rectal prolapse——A multicenter clinical study

Efficacy and safety of Buzhong Yiqi decoction combined with surgery for rectal prolapse

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