Laparoscopic Vaginal Suspension and Rectopexy for Rectal Prolapse
Annals of Coloproctology
; : 64-69, 2017.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-33737
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Laparoscopic procedures for the treatment of patients with a rectal prolapse have gained increasing worldwide acceptance because they have lower recurrence and better functional outcome than perineal procedures. Nevertheless, ideal surgical methods are still not available. We propose a new surgical technique, laparoscopic vaginal suspension and rectopexy, for correcting a full-thickness rectal prolapse and/or middle-compartment prolapse. This study assessed the short-term outcomes for patients who underwent laparoscopic vaginal suspension and rectopexy.METHODS:
Between April 2014 and April 2016, 69 female patients underwent laparoscopic vaginal suspension and rectopexy to correct a rectal prolapse. Demographics, medical histories, and surgical and follow-up details were collected from their medical records. In addition to the clinical outcome, we repeated defecation proctography and a questionnaire regarding functional results three months after surgery.RESULTS:
No major morbidities or no mortalities occurred. The defecation proctography confirmed excellent anatomical result in all cases. Of 7 patients with combined middle-compartment prolapses, we observed good anatomical correction. During follow-up, full-thickness recurrence occurred in one patient. Preoperative fecal incontinence was improved significantly at 3 months (mean Wexner score 12.35 vs. 7.71; mean FISI 33.29 vs. 21.07; P < 0.001). Analysis of responses to the fecal incontinence quality of life (FIQOL) questionnaire showed overall improvement at 3 months compared to the preoperative baseline (mean pre- and postoperative FIQOL scores 12.11 vs. 14.39; P < 0.004).CONCLUSION:
Laparoscopic vaginal suspension and rectopexy is a new combined procedure for the treatment of patients with rectal prolapses. It has excellent functional outcomes and minimal morbidity and can correct and prevent middlecompartment prolapses.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Other Malignant Neoplasms
Database:
WPRIM (Western Pacific)
Main subject:
Prolapse
/
Quality of Life
/
Recurrence
/
Demography
/
Medical Records
/
Follow-Up Studies
/
Mortality
/
Rectal Prolapse
/
Defecation
/
Fecal Incontinence
Type of study:
Observational study
/
Prognostic study
Aspects:
Social determinants of health
/
Patient-preference
Limits:
Female
/
Humans
Language:
English
Journal:
Annals of Coloproctology
Year:
2017
Document type:
Article