Systematic review of the literature on the quality of life of patients with reconstructive surgery for inflammatory bowel disease

The only curative treatment for ulcerative colitis is proctocolectomy. For this reason, over time, multiple techniques have been studied to obtain the best possible functionality and quality of life, which has being highly affected by the disease. The techniques presented for study are ileoanal anastomosis with pouch and ileostomy, considering at the beginning the pouch as the best technique. Results obtained from the variables studied: fertility is less affected in the ileostomy, sexual function did not present differences, the frequency of bowel movements in the pouch is 6-7 bowel movements per day with an incontinence of approximately 21%, and the economic impact is much more pronounced in the ileostomy, while irritation and pain is much more frequent in the ileostomy. With regard to psychosocial function, there is some variability in the results without a clear difference between the two techniques. With regard to the quality of life assessed by the tests, there is a slight improvement in the pouch compared to the state before the operation. As a conclusion, we can formulate different alternatives, in young women with genetic desire the best option is the ileostomy, while in the rest of the patients, and the ileoanal anastomosis with pouch presents an adequate quality of life

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Hernia perineal tras amputación abdominoperineal laparoscópica en cirugía de cáncer del recto / Perineal hernia after laparoscopic abdominoperineal resection in rectal cáncer surgery

Las hernias perineales son una enfermedad rara. Su incidencia se estima en un 1% después de la amputación abdominoperineal y en 3-10% de las resecciones pélvicas para los tumores malignos. Se puede definir como la protrusión del contenido intestinal a través del suelo pélvico. Las hernias perineales se clasifican como congénitas, primarias debido a defectos del piso pélvico o secundarias a la cirugía en la cavidad pélvica. Las hernias perineales secundarias tras amputación abdominoperineal para el cáncer rectal se describen por primera vez en 1939 por Yeomans. En 2007 Veenhof4 publicó un caso de hernia perineal secundaria a amputación abdominoperineal por laparoscopia. Presentamos el caso de un paciente en el postoperatorio temprano de una amputación laparoscópica abdominoperineal con una obstrucción secundaria a una hernia perineal

Perineal hernias are a rare disease. Its incidence is estimated at 1% after abdominoperineal amputation and in 3-10% of pelvic resections for malignant tumors. It can be defined as the protrusion of the intestinal contents through the pelvic floor. Perineal hernias are classified as congenital, primary due to pelvic floor defects or secondary to surgery in the pelvic cavity. Secondary perineal hernias after abdominoperineal amputation for rectal cancer is first described in 1939 by Yeomans. In 2007 Veenhof4 published a case of perineal hernia secondary to abdominoperineal amputation by laparoscopy. We present a case of a patient in the early postoperative period, of a laparoscopic abdominoperineal amputation, with an obstructive condition secondary to a perineal hernia