Modified perineal linear stapler resection for external rectal prolapse.
Constipation
Fecal incontinence
Perineal linear stapler resection
Rectal prolapse
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
14
12
2019
revised:
03
03
2020
accepted:
28
03
2020
entrez:
24
4
2020
pubmed:
24
4
2020
medline:
24
4
2020
Statut:
epublish
Résumé
rectal prolapse can cause bleeding and fecal incontinence that affects the life quality of patients. The treatment of external rectal prolapse is surgical. There are many procedures (abdominal or perineal) that can be used depending on the severity of the condition and patient tolerability for operation. In this study, a simple safe procedure is used for the treatment of the rectal prolapse in old, fragile and comorbid patients who cannot withstand the major surgeries and the risk of long-duration anesthesia. from December 2016 to July 2019, 36 elderly comorbid patients with rectal prolapse were involved in this study which is performed in the GIT surgery unit of Zagazig University Hospital. A modified linear stapler resection technique is used for the rectal prolapse. Postoperative follow up was done for one year to evaluate the functional outcome, operative time, hospital stay duration and complications. this study was conducted on 36 patients; The median age was 75 years (range 48-95). The postoperative complication rate was 11.1%. The median operative time was 25 min and 4 days for the hospital stay. Fecal incontinence improved in more than 90% of patients and constipation disappeared in 66% of total constipating patients. The modified perineal linear stapler resection for external rectal prolapse is a good, easy, rapid treatment for elderly comorbid patients with good functional outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
rectal prolapse can cause bleeding and fecal incontinence that affects the life quality of patients. The treatment of external rectal prolapse is surgical. There are many procedures (abdominal or perineal) that can be used depending on the severity of the condition and patient tolerability for operation. In this study, a simple safe procedure is used for the treatment of the rectal prolapse in old, fragile and comorbid patients who cannot withstand the major surgeries and the risk of long-duration anesthesia.
METHODS
METHODS
from December 2016 to July 2019, 36 elderly comorbid patients with rectal prolapse were involved in this study which is performed in the GIT surgery unit of Zagazig University Hospital. A modified linear stapler resection technique is used for the rectal prolapse. Postoperative follow up was done for one year to evaluate the functional outcome, operative time, hospital stay duration and complications.
RESULT
RESULTS
this study was conducted on 36 patients; The median age was 75 years (range 48-95). The postoperative complication rate was 11.1%. The median operative time was 25 min and 4 days for the hospital stay. Fecal incontinence improved in more than 90% of patients and constipation disappeared in 66% of total constipating patients.
CONCLUSION
CONCLUSIONS
The modified perineal linear stapler resection for external rectal prolapse is a good, easy, rapid treatment for elderly comorbid patients with good functional outcomes.
Identifiants
pubmed: 32322391
doi: 10.1016/j.amsu.2020.03.011
pii: S2049-0801(20)30039-X
pmc: PMC7167506
doi:
Types de publication
Journal Article
Langues
eng
Pagination
22-25Informations de copyright
© 2020 The Author(s).
Déclaration de conflit d'intérêts
No conflicts of interest among authors.
Références
Dis Colon Rectum. 2013 Jun;56(6):780-5
pubmed: 23652754
Mil Med. 2005 Sep;170(9):743-7
pubmed: 16261977
Tech Coloproctol. 2014 Mar;18(3):273-6
pubmed: 23913016
Surg Endosc. 2006 Dec;20(12):1919-23
pubmed: 17031741
Dis Colon Rectum. 2018 Nov;61(11):1316-1319
pubmed: 30239390
EClinicalMedicine. 2019 Aug 29;16:18-22
pubmed: 31832616
Indian J Surg. 2015 Dec;77(Suppl 3):1115-20
pubmed: 27011521
BMC Surg. 2010 Mar 08;10:9
pubmed: 20205956
Dis Colon Rectum. 2005 Sep;48(9):1785-90
pubmed: 15981056
Dig Surg. 2005;22(5):306-9; discussion 310
pubmed: 16192729
Tech Coloproctol. 2002 Sep;6(2):109-16
pubmed: 12402057
Gastroenterol Rep (Oxf). 2014 May;2(2):79-84
pubmed: 24759339
Curr Treat Options Gastroenterol. 2000 Jun;3(3):229-242
pubmed: 11097740
Dis Colon Rectum. 2008 Nov;51(11):1727-30
pubmed: 18626711
Asian J Endosc Surg. 2020 Jan;13(1):25-32
pubmed: 30920167
Clin Colon Rectal Surg. 2017 Feb;30(1):3-4
pubmed: 28144205