Öz
Objective: The gold standard method for the treatment of rectal prolapse is still unclear. This study aims to share the results of patients who underwent laparoscopic ventral mesh rectopexy surgery for rectal prolapse.
Design: Only cases who underwent laparoscopic procedure were included in the study.
Subjects/Patients: A total of 22 patients who were operated for rectal prolapse were analyzed.
Methods: The patient’s data were evaluated including preoperative data, postoperative course and recurrence.
Results: Complications were observed in 6 patients in the early postoperative period (p=0.077). Complications observed in two patients, which resolved spontaneously during follow-up with minimal bleeding and postoperative ileus. Mean follow-up time was 16 months. There was no recurrence or mortality during this period.
Conclusion: Laparoscopic ventral mesh rectopexy still maintains its importance as one of the most effective options in the treatment of rectal prolapse, due to its high success rates, rapid and permanent resolution of clinical symptoms, and the positive effects of laparoscopy on quality of life.
Anahtar Kelimeler
Kaynakça
- 1. Brodén B, Snellman B. Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum 1968; 11: 330-47.
- 2. Naeem M, Anwer M, Qureshi MS. Short term outcome of laparoscopic ventral rectopexy for rectal prolapse. Pak J Med Sci 2016; 32: 875-879.
- 3. Hrabe J, Gurland B. Optimizing Treatment for Rectal Prolapse. Clin Colon Rectal Surg 2016; 29: 271-276.
- 4. Kim DS, Tsang CB, Wong WD, Lowry AC, Goldberg SM, Madoff RD. Complete rectal prolapse: evolution of management and results. Dis Colon Rectum 1999; 42: 460-466.
- 5. Madoff RD, Mellgren A. One hundred years of rectal prolapse surgery. Dis Colon Rectum 1999; 42: 441-450.
- 6. Tou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev 2015; 11: CD001758
- 7. Fang SH, Cromwell JW, Wilkins KB, Eisenstat TE, Notaro JR, Alva S, et al. Is the abdominal repair of rectal prolapse safer than perineal repair in the highest risk patients? An NSQIP analysis. Dis Colon Rectum 2012; 55: 1167-1172.
- 8. Baker R, Senagore AJ, Luchtefeld MA. Laparoscopic-assisted vs. open resection. Rectopexy offers excellent results. Dis Colon Rectum 1995; 38: 199-201.
- 9. Nigro ND. An evaluation of the cause and mechanism of complete rectal prolapse. Dis Colon Rectum 1966; 9: 391-398.
- 10. Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg 2005; 140: 63-73.
- 11. Hammond K, Beck DE, Margolin DA, Whitlow CB, Timmcke AE, Hicks TC. Rectal prolapse: a 10-year experience. Ochsner J 2007; 7: 24-32.
- 12. Chandra A, Kumar S, Maurya AP, Gupta V, Gupta V, Rahul. Laparoscopic ventral mesh rectopexy for complete rectal prolapse: A retrospective study evaluating outcomes in North Indian population. World J Gastrointest Surg 2016; 8: 321-325.
- 13. D’Hoore A, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg 2004; 91: 1500-1505.
- 14. Selvaggi F, Scotto di Carlo E, Silvestri A, festa L, Peigari V. Surgical treatment of rectal prolapse: a randomised study. Br J Surg 1993; 80 Suppl: S89 (Abstract).
- 15. Speakman CT, Madden MV, Nicholls RJ, Kamm MA. Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg 1991; 78: 1431-1433.
Öz
Amaç: Rektal prolapsus için optimal cerrahi yöntem halen netleşmemiştir. Bu çalışma, tam kat rektal prolapsus nedeniyle laparoskopik ventral meş rektopeksi cerrahisi uygulanan hastaların sonuçlarını paylaşmayı amaçlamaktadır.
Yöntem: Rektal prolapsus nedeniyle opera edilen 22 hasta incelendi. Hastalar, preoperatif veriler, postoperatif iyileşme dönemi ve nüks açısından değerlendirildi.
Bulgular: Tüm operasyonlar laparoskopik olarak yapıldı. Hastaların 6'sında erken postoperatif dönemde komplikasyon gelişti. (p=0.077). Erken postoperatif ileusu ve minimal kanaması olan 2 hastada takipte ek girişime ihtiyaç olmaksızın düzeldi. Ortalama takip süresi 16 ay idi. Bu dönemde nüks veya mortalite olmadı.
Sonuç: Laparoskopik ventral meş rektopeksi, klinik semptomların hızlı ve kalıcı çözümü ve laparoskopinin yaşam kalitesi üzerindeki olumlu etkileri nedeniyle rektal prolapsus tedavisinde en etkili seçeneklerden biridir.
Anahtar Kelimeler
Kaynakça
- 1. Brodén B, Snellman B. Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum 1968; 11: 330-47.
- 2. Naeem M, Anwer M, Qureshi MS. Short term outcome of laparoscopic ventral rectopexy for rectal prolapse. Pak J Med Sci 2016; 32: 875-879.
- 3. Hrabe J, Gurland B. Optimizing Treatment for Rectal Prolapse. Clin Colon Rectal Surg 2016; 29: 271-276.
- 4. Kim DS, Tsang CB, Wong WD, Lowry AC, Goldberg SM, Madoff RD. Complete rectal prolapse: evolution of management and results. Dis Colon Rectum 1999; 42: 460-466.
- 5. Madoff RD, Mellgren A. One hundred years of rectal prolapse surgery. Dis Colon Rectum 1999; 42: 441-450.
- 6. Tou S, Brown SR, Nelson RL. Surgery for complete (full-thickness) rectal prolapse in adults. Cochrane Database Syst Rev 2015; 11: CD001758
- 7. Fang SH, Cromwell JW, Wilkins KB, Eisenstat TE, Notaro JR, Alva S, et al. Is the abdominal repair of rectal prolapse safer than perineal repair in the highest risk patients? An NSQIP analysis. Dis Colon Rectum 2012; 55: 1167-1172.
- 8. Baker R, Senagore AJ, Luchtefeld MA. Laparoscopic-assisted vs. open resection. Rectopexy offers excellent results. Dis Colon Rectum 1995; 38: 199-201.
- 9. Nigro ND. An evaluation of the cause and mechanism of complete rectal prolapse. Dis Colon Rectum 1966; 9: 391-398.
- 10. Madiba TE, Baig MK, Wexner SD. Surgical management of rectal prolapse. Arch Surg 2005; 140: 63-73.
- 11. Hammond K, Beck DE, Margolin DA, Whitlow CB, Timmcke AE, Hicks TC. Rectal prolapse: a 10-year experience. Ochsner J 2007; 7: 24-32.
- 12. Chandra A, Kumar S, Maurya AP, Gupta V, Gupta V, Rahul. Laparoscopic ventral mesh rectopexy for complete rectal prolapse: A retrospective study evaluating outcomes in North Indian population. World J Gastrointest Surg 2016; 8: 321-325.
- 13. D’Hoore A, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg 2004; 91: 1500-1505.
- 14. Selvaggi F, Scotto di Carlo E, Silvestri A, festa L, Peigari V. Surgical treatment of rectal prolapse: a randomised study. Br J Surg 1993; 80 Suppl: S89 (Abstract).
- 15. Speakman CT, Madden MV, Nicholls RJ, Kamm MA. Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg 1991; 78: 1431-1433.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Original Article |
| Yazarlar | |
| Erken Görünüm Tarihi | 24 Ekim 2022 |
| Yayımlanma Tarihi | 29 Ekim 2022 |
| Gönderilme Tarihi | 28 Eylül 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 32 Sayı: 5 |
Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.