Long-term results of suture rectopexy in patients with fecal incontinence associated with incomplete rectal prolapse

1997 ◽  
Vol 40 (10) ◽  
pp. 1228-1232 ◽  
Author(s):  
J. W. Briel ◽  
W. R. Schouten ◽  
M. O. Boerma
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Long Term Results ◽  
Suture Rectopexy

scholarly journals Surgical treatment of rectal prolapse: experience and late results with 51 patients

2004 ◽  
Vol 59 (4) ◽  
pp. 168-171 ◽  
Author(s):  
Carlos Walter Sobrado ◽  
Desidério Roberto Kiss ◽  
Sérgio C. Nahas ◽  
Sérgio E. A. Araújo ◽  
Victor E. Seid ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Late Results ◽  
Long Term Results ◽  
Complete Rectal Prolapse ◽  
Presacral Space ◽  
Perineal Rectosigmoidectomy ◽  
Study Results ◽  
Low Incidence

The "best" surgical technique for the management of complete rectal prolapse remains unknown. Due to its low incidence, it is very difficult to achieve a representative number of cases, and there are no large prospective randomized trials to attest to the superiority of one operation over another. PURPOSE: Analyze the results of surgical treatment of complete rectal prolapse during 1980 and 2002. METHOD: Retrospective study. RESULTS: Fifty-one patients underwent surgical treatment during this period. The mean age was 56.7 years, with 39 females. Besides the prolapse itself, 33 patients complained of mucous discharge, 31 of fecal incontinence, 14 of constipation, 17 of rectal bleeding, and 3 of urinary incontinence. Abdominal operations were performed in 36 (71%) cases. Presacral rectopexy was the most common abdominal procedure (29 cases) followed by presacral rectopexy associated with sigmoidectomy (5 cases). The most common perineal procedure was perineal rectosigmoidectomy associated with levatorplasty (12 cases). Intraoperative bleeding from the presacral space developed in 2 cases, and a rectovaginal fistula occurred in another patient after a perineal rectosigmoidectomy. There were 2 recurrences after a mean follow-up of 49 months, which were treated by reoperation. CONCLUSION: Abdominal and perineal procedures can be used to manage complete rectal prolapse with safety and good long-term results. Age, associated medical conditions, and symptoms of fecal incontinence or constipation are the main features that one should bear in mind in order to choose the best surgical approach.

Long-term results of total pelvic floor repair for postobstetric fecal incontinence

1997 ◽  
Vol 40 (7) ◽  
pp. 835-839 ◽  
Author(s):  
S. Körsgen ◽  
K. I. Deen ◽  
M. R. B. Keighley
Keyword(s):  
Fecal Incontinence ◽  
Pelvic Floor ◽  
Long Term Results ◽  
Pelvic Floor Repair ◽  
Total Pelvic Floor Repair

Long-term results of electromyographic biofeedback training for fecal incontinence

2000 ◽  
Vol 43 (9) ◽  
pp. 1262-1266 ◽  
Author(s):  
Ann-Katrine Ryn ◽  
Geert L. Morren ◽  
Olof Hallböök ◽  
Rune Sjödahl
Keyword(s):  
Fecal Incontinence ◽  
Biofeedback Training ◽  
Long Term Results ◽  
Electromyographic Biofeedback

Long-term results of anterior levatorplasty for fecal incontinence

1996 ◽  
Vol 39 (6) ◽  
pp. 671-675 ◽  
Author(s):  
A. österberg ◽  
W. Graf ◽  
A. Holmberg ◽  
L. Påhlman ◽  
A. Ljung ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Long Term Results ◽  
Anterior Levatorplasty

Long-Term Results of Anterior Anal Sphincter Repair for Fecal Incontinence due to Obstetric Injury / with Invited Commentaries

2000 ◽  
Vol 17 (4) ◽  
pp. 390-394 ◽  
Author(s):  
J. Rothbarth ◽  
W.A. Bemelman ◽  
W.J.H.J. Meijerink ◽  
M.E. Buyze-Westerweel ◽  
J.G. van Dijk ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Sphincter Repair ◽  
Long Term Results ◽  
Obstetric Injury ◽  
Anal Sphincter Repair

scholarly journals Laparoscopic Suture versus Mesh Rectopexy for the Treatment of Persistent Complete Rectal Prolapse in Children: A Comparative Randomized Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
AbdelAziz Yehya ◽  
Ibrahim Gamaan ◽  
Mohamed Abdelrazek ◽  
Mohamed Shahin ◽  
Ashraf Seddek ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Rectal Prolapse ◽  
Operative Time ◽  
Randomized Study ◽  
Complete Rectal Prolapse ◽  
University Hospitals ◽  
Laparoscopic Suture ◽  
Suture Rectopexy ◽  
Group B ◽  
Mesh Rectopexy

Purpose. To compare laparoscopic mesh rectopexy with laparoscopic suture rectopexy. Patients and Methods. The prospective study was conducted at Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt between Feb 2010 and Jan 2015. Seventy-eight children with persistent complete rectal prolapse were subjected to laparoscopic rectopexy. Fourteen parents refused to participate. All patients received initial conservative treatment for more than one year. The remaining 64 patients were randomized divided into two equal groups. Group A; 32 patients underwent laparoscopic mesh rectopexy and group B, 32 underwent laparoscopic suture rectopexy. The operative time, recurrence rate, post-operative constipation, and effect on fecal incontinence, were reported and evaluated for each group. Results. Sixty-four cases presented with persistent complete rectal prolapse were the material of this study. They were 40 males and 24 females. Mean age at operation was 8 (5–12) years. All cases were completed laparoscopically. Mean operative time in laparoscopic suture rectopexy was shorter than laparoscopic mesh rectopexy group. No early post-operative complications were encountered. No cases of recurrence with mesh rectopexy group while in suture rectopexy group it was 4 cases (14.2%). Post-operative constipation occurred in one case (3.57%) in suture rectopexy group and occurred in one case (3.3%) in mesh rectopexy group. Fecal incontinence improved in 26/28 cases (92.8%) in suture rectopexy while in mesh rectopexy it was improved in 30/30 cases (100%) of cases. Conclusion. Both laparoscopic mesh and suture rectopexy are feasible and reliable methods for the treatment of complete rectal prolapse in children. However, no recurrence, low incidence of constipation and high improvement of incontinence at follow up more than 36 months with mesh rectopexy accordingly, we considered mesh rectopexy to be the procedure of choice in treatment of complete rectal prolapse.

scholarly journals Recent trends in management of haemorrhoids

2017 ◽  
Vol 4 (4) ◽  
pp. 1276
Author(s):  
S. Asif Ali ◽  
Mohammad Fazelul Rahman Shoeb
Keyword(s):  
Postoperative Complications ◽  
Fecal Incontinence ◽  
Long Term Results ◽  
Male Preponderance ◽  
Grade Ii ◽  
Recent Trends ◽  
Comparative Results ◽  
Dilatation Group ◽  
Clinical Conditions

Background: Haemorrhoids are common clinical conditions. Their treatment is one of the most challenging situations in the field of general surgery. In this study, we compared and evaluated the results and postoperative complications of Lords dilatation procedure and haemorrhoidectomy.Methods: The study evaluates comparative results of Lords dilatation procedure and haemorrhoidectomy. This study was conducted over a period of 1 year from January 1984 to December 1984. It includes 40 patients with haemorrhoids who attended surgical OPD of Krishnarajendra Hospital, Mysore. These 40 patients were selected randomly and divided into two groups of 20 patients each (Lords dilatation group and haemorrhoidectomy group). All parameters including clinical, physical and baseline investigations for all patients were recorded and finally analysed.Results: The age of the patients ranged from 20-70 years. Male preponderance was observed (7:1). The commonest symptoms were mass per rectum (90% and 85%) and bleeding P/R (85%), pain during defecation (85% and 70%) in Lords dilatation and haemorrhoidectomy groups respectively. Protoscopic examination revealed the presence of grade II haemorrhoids in most of the patients in both the groups, 45% and 65% respectively. Postoperative complications including pain, sphincter incontinence, bleeding and urinary retention is high in haemorrhoidectomy group as compared to Lords dilatation group. Recurrence of haemorrhoids (5%) and fecal incontinence (5%) was observed in Lords dilatation group after 6 months of treatment.Conclusions: Haemorrhoidectomy for treatment of hemorrhoids offers the best immediate and long term results compared to Lords dilatation. 

Long-term results after Delorme procedure for rectal prolapse

2020 ◽  
Vol 42 (2) ◽  
pp. 197-203
Author(s):  
Ralph Schneider ◽  
Julia Buhmann ◽  
Andreas Ommer
Keyword(s):  
Rectal Prolapse ◽  
Long Term Results ◽  
Delorme Procedure
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