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[Internal rectal invagination treated with rectopexy and sigmoid resection].

Egil Johnson1, Erik Carlsen, Odd Mjåland

  • 1Gastrokirurgisk avdeling, Ullevål universitetssykehus 0407 Oslo. egil.johnson@ulleval.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 9, 2004
PubMed
Summary

Suture rectopexy with sigmoid resection effectively treats internal rectal intussusception, significantly reducing constipation and improving rectal emptying symptoms in patients.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Context:

  • Internal rectal intussusception is a condition often affecting women, leading to chronic constipation and incomplete stool evacuation.
  • Surgical intervention is frequently considered for refractory cases.

Purpose:

  • To evaluate the efficacy of suture rectopexy and sigmoid resection in treating internal rectal intussusception.
  • To assess the impact of this surgical procedure on constipation, rectal emptying, and overall patient outcomes.

Summary:

  • A study involving 22 patients (21 women, 1 man) with internal rectal intussusception underwent suture rectopexy and sigmoid resection.
  • Post-operative evaluation using anoscopy, defecography, and the KESS score revealed significant symptom improvement, particularly in constipation.
  • Constipation was reduced from 20 to 8 patients, with no new cases post-surgery. Colonic transit time also showed a trend towards reduction.

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Impact:

  • Suture rectopexy with sigmoid resection offers a viable surgical solution for internal rectal intussusception.
  • The procedure demonstrates significant benefits in alleviating constipation and improving the sensation of incomplete rectal emptying.
  • This surgical approach may enhance patient satisfaction and quality of life for individuals suffering from this condition.