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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 64 - 69 (6page)
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초록· 키워드
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Purpose: Laparoscopic procedures for the treatment of patients with a rectal prolapse have gained increasing worldwide acceptance because they have lower recurrence and better functional outcome than perineal procedures. Nevertheless, ideal surgical methods are still not available. We propose a new surgical technique, laparoscopic vaginal suspension and rectopexy, for correcting a full-thickness rectal prolapse and/or middle-compartment prolapse. This study assessed the short-term outcomes for patients who underwent laparoscopic vaginal suspension and rectopexy. Methods: Between April 2014 and April 2016, 69 female patients underwent laparoscopic vaginal suspension and rectopexy to correct a rectal prolapse. Demographics, medical histories, and surgical and follow-up details were collected from their medical records. In addition to the clinical outcome, we repeated defecation proctography and a questionnaire regarding functional results three months after surgery. Results: No major morbidities or no mortalities occurred. The defecation proctography confirmed excellent anatomical result in all cases. Of 7 patients with combined middle-compartment prolapses, we observed good anatomical correction. During follow-up, full-thickness recurrence occurred in one patient. Preoperative fecal incontinence was improved significantly at 3 months (mean Wexner score: 12.35 vs. 7.71; mean FISI: 33.29 vs. 21.07; P < 0.001). Analysis of responses to the fecal incontinence quality of life (FIQOL) questionnaire showed overall improvement at 3 months compared to the preoperative baseline (mean pre- and postoperative FIQOL scores: 12.11 vs. 14.39; P < 0.004). Conclusion: Laparoscopic vaginal suspension and rectopexy is a new combined procedure for the treatment of patients with rectal prolapses. It has excellent functional outcomes and minimal morbidity and can correct and prevent middlecompartment prolapses.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Kairaluoma MV / 2005 / Epidemiologic aspects of complete rectal prolapse / Scand J Surg 94:207~210
González-Argenté FX / 2001 / Prevalence and severity of urinary incontinence and pelvic genital prolapse in females with anal incontinence or rectal prolapse / Dis Colon Rectum 44:920~926
Yoon SG / 2002 / Laparoscopic suture rectopexy for rectal prolapse / J Korean Soc Coloproctol 18:89~94
Rickert A / 2015 / Laparoscopic surgery for rectal prolapse and pelvic floor disorders / World J Gastrointest Endosc 7:1045~1054
Adeyemo D / 2014 / Mesh fistulation into the rectum after laparoscopic ventral mesh rectopexy / Int J Surg Case Rep 5:152~154
González-Argenté FX / 2001 / Prevalence and severity of urinary incontinence and pelvic genital prolapse in females with anal incontinence or rectal prolapse / Dis Colon Rectum 44:920~926
Yoon SG / 2002 / Laparoscopic suture rectopexy for rectal prolapse / J Korean Soc Coloproctol 18:89~94
Rickert A / 2015 / Laparoscopic surgery for rectal prolapse and pelvic floor disorders / World J Gastrointest Endosc 7:1045~1054
Adeyemo D / 2014 / Mesh fistulation into the rectum after laparoscopic ventral mesh rectopexy / Int J Surg Case Rep 5:152~154
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