Recurrence Rates After Abdominal Surgery for Complete Rectal Prolapse: A Multicenter Pooled Analysis of 643 Individual Patient Data

Raftopoulos, Yannis; Senagore, Anthony J.; Giuro, Giuseppe Di; Bergamaschi, Roberto

doi:10.1007/s10350-004-0948-6

Cited by 99 publications

(60 citation statements)

References 11 publications

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“…9 In this work, the demographic data of both laparoscopic and open groups showed that most of our patients were female with the mean age 48 and 52 years respectively, this was consistent with other similar studies. 8,[15][16][17][18] During the laparoscopic procedure, we used four port sites to perform the laparoscopic posterior mesh repair for FTRP, this is in agreement with other many studies. [8][9][10] Also, in this study, the operative time in laparoscopic group is more than open group, but without significant statistical difference (P value 0.45).…”

supporting

confidence: 64%

“…These recorded results were close to the incidence of other similar studies that was ranged from 0-13% after abdominal posterior mesh rectopexy. 1,17,26 Patients with FTRP have markedly impaired rectal adaptation to distention, which may contribute to anal incontinence, and consequently more than half of the patients with rectal prolapse have coexisting incontinence. 22 Improvement of fecal incontinence is 3-40% after abdominal posterior mesh rectopexy.…”

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confidence: 99%

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Comparison between laparoscopic and open abdominal rectopexy for full-thickness rectal prolapse: controlled clinical trial

Abdelraheem

Singh

2017

Int Surg J

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Background: Abdominal rectopexy is an appropriate treatment option for full-thickness rectal prolapse (FTRP). Our aim is to evaluate the effectiveness and surgical outcome of laparoscopic posterior mesh rectopexy in treatment of FTRP by comparing this procedure with the traditional open approach.Methods: Thirty consecutive cases with FTRP were included and subjected to abdominal posterior mesh rectopexy from September 2013 to February 2016 at Sohag University Hospital. Thirteen patients were managed laparoscopically and 17 patients underwent open posterior mesh repair. Demographic data and surgical outcome were compared in both groups.Results: Laparoscopic group showed an earlier tolerance to oral feeding (1.26±0.42 versus 2.16±1.36 days, p=0.03), and earlier hospital discharge and return to work (5.63±2.91 versus 8.24±4.64 days, p=0.016, 18.28±2.61 versus 28.64±3.82 days, p=0.032, respectively). The mean consumed postoperative analgesics per day was less among laparoscopic group (1.63±16.2 versus 2.68±34.21 ampoule/day, p=0.012). Incidence of wound infection, wound dehiscence, prolonged ileus and postoperative chest infection were more in open group. There were significant postoperative improvement of continence status, rectal bleeding and abdominal pain in each group. Incidence of postoperative constipation was slightly increased in both groups, but without significant difference. Recurrence occurred in one case only in open group. There were no mortalities in both groups.Conclusions: Laparoscopic posterior mesh rectopexy for FTRP can be done safely even in elderly patients. It offers less postoperative pain, low incidence of postoperative morbidities, early hospital discharge and return to work, in addition to cosmetically better outcome. Laparoscopic rectopexy has the same functional outcome as open technique.

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confidence: 64%

mentioning

confidence: 99%

Comparison between laparoscopic and open abdominal rectopexy for full-thickness rectal prolapse: controlled clinical trial

Abdelraheem

Singh

2017

Int Surg J

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“…Authors were selected based on their previous contributions to the current literature and/or participation in the Rectal Prolapse Recurrence Study Group. 7 There was consistent contact between the study coordinator and the participating centers.…”

Section: Participating Centers and Surgeonsmentioning

confidence: 99%

“…4 -6 A pooled analysis of 643 individual patient data collected from 15 institutions concluded that rectal mobilization without rectopexy is as effective as rectopexy with respect to recurrence rates. 7 However, despite the large number of patients, this was a retrospective data collection. Therefore, adequately powered and rigorous RCTs are needed.…”

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confidence: 99%

No Rectopexy Versus Rectopexy Following Rectal Mobilization for Full-Thickness Rectal Prolapse: A Randomized Controlled Trial

Karas

Uranues

Altomare

et al. 2011

Diseases of the Colon &Amp; Rectum

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“…Permanent anatomical correction of the structural defect and optimal functional result are the principal purposes of the surgical treatment of rectal prolapse [1,2]. Although the rate of recurrence rises to 50% of patients, on the basis of the literature, there are limited data regarding the possible causal factors of relapse and the treatment options available [3][4][5].…”

Section: Introductionmentioning

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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Recurrence Rates After Abdominal Surgery for Complete Rectal Prolapse: A Multicenter Pooled Analysis of 643 Individual Patient Data

Abstract: Although this study is likely underpowered, the impact of mobilization-only on recurrence rates was similar to that of other surgical techniques.

Cited by 99 publications

References 11 publications

Comparison between laparoscopic and open abdominal rectopexy for full-thickness rectal prolapse: controlled clinical trial

Comparison between laparoscopic and open abdominal rectopexy for full-thickness rectal prolapse: controlled clinical trial

No Rectopexy Versus Rectopexy Following Rectal Mobilization for Full-Thickness Rectal Prolapse: A Randomized Controlled Trial

Management of recurrent rectal prolapse

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