Perineal stapled prolapse resection for external rectal prolapse: is it worthwhile in the long-term?

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Serval ID
serval:BIB_11C8914FFDD1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perineal stapled prolapse resection for external rectal prolapse: is it worthwhile in the long-term?
Journal
Techniques in Coloproctology
Author(s)
Tschuor C., Limani P., Nocito A., Dindo D., Clavien P.A., Hahnloser D.
ISSN
1128-045X (Electronic)
ISSN-L
1123-6337
Publication state
Published
Issued date
2013
Volume
17
Number
5
Pages
537-540
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish. PDF type: Original article
Abstract
BACKGROUND: Perineal stapled prolapse (PSP) resection is a novel operation for treating external rectal prolapse. However, no long-term results have been reported in the literature. This study analyses the long-term recurrence rate, functional outcome, and morbidity associated with PSP resection.
METHODS: Nine consecutive patients undergoing PSP resection between 2007 and 2011 were prospectively followed. Surgery was performed by the same surgeons in a standardised technique. Recurrence rate, functional outcome, and complication grade were prospectively assessed.
RESULTS: All 9 patients undergoing PSP resection were investigated. The median age was 72 years (range 25-88 years). No intraoperative complications occurred. Faecal incontinence, preoperatively present in 2 patients, worsened postoperatively in one patient (Vaizey 18-22). One patient developed new-onset faecal incontinence (Vaizey 18). The median obstructive defecation syndrome score decreased postoperatively significantly from 11 (median; range 8-13) to 5 (median; range 4-8) (p < 0.005). At a median follow-up of 40 months (range 14-58 months), the prolapse recurrence rate was 44 % (4/9 patients).
CONCLUSIONS: The PSP resection is a fast and safe procedure associated with low morbidity. However, the poor long-term functional outcome and the recurrence rate of 44 % warrant a cautious patient selection.
Pubmed
Web of science
Open Access
Yes
Create date
01/11/2013 21:54
Last modification date
01/10/2019 7:16
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