Surgical Treatment of Rectal Prolapse: A 10-Year Experience at a Single Institution
Journal of Minimally Invasive Surgery
; : 164-170, 2019.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-786102
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Despite the plethora of surgical options, there is no consensus regarding the best treatment for rectal prolapse. This study is aimed at evaluating our experience with its treatment and outcomes.METHODS:
We retrospectively reviewed rectal prolapse patients' characteristics, clinical presentation, surgical procedure, average length of hospital stay, morbidity, mortality, and recurrence over a 10 year period at our institution.RESULTS:
A total of 46 patients underwent rectal prolapse repair at our institution over a 10 year period. Of the 39 patients with primary rectal prolapse, 18 patients had an abdominal procedure, while 21 patients underwent a perineal approach. Operative duration was significantly longer in abdominal procedures, of which 16 cases were performed laparoscopically. Length of hospital stay and recurrence were not statistically significant between the 2 groups. In patients with recurrent rectal prolapse, more than 80% of the initial surgeries were done using the perineal approach. An abdominal approach was utilized in the management of 75% of recurrences.CONCLUSION:
An abdominal repair may be preferable in the treatment of recurrent rectal prolapse. Minimally invasive techniques may be feasible and can provide a safe alternative to perineal procedures in elderly patients.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prolapso
/
Doenças Retais
/
Reto
/
Recidiva
/
Estudos Retrospectivos
/
Mortalidade
/
Prolapso Retal
/
Consenso
/
Tempo de Internação
Tipo de estudo:
Guia de prática clínica
/
Estudo observacional
/
Estudo prognóstico
Limite:
Idoso
/
Humanos
Idioma:
Inglês
Revista:
Journal of Minimally Invasive Surgery
Ano de publicação:
2019
Tipo de documento:
Artigo