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Resection rectopexy for internal rectal intussusception reduces constipation and incomplete evacuation of stool
Egil Johnson1, Erik Carlsen, Odd Mjåland
1Department of Gastroenterological Surgery, Ullevål Hospital, University of Oslo, Oslo, Norway. egil.johnson@ulleval.no
The European Journal of Surgery. Supplement. : = Acta Chirurgica. Supplement
|June 18, 2004
Summary
Resection rectopexy significantly improved symptoms of internal rectal intussusception, including constipation and incomplete evacuation. This surgical approach offers an effective treatment option with acceptable morbidity for patients.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Surgical Outcomes
Background:
- Internal rectal intussusception is a condition causing significant anorectal symptoms.
- Surgical intervention, specifically rectopexy with sigmoid resection, is explored for its efficacy.
Purpose of the Study:
- To evaluate the effectiveness of resection rectopexy in alleviating symptoms associated with internal rectal intussusception.
- To assess patient satisfaction and morbidity following the procedure.
Main Methods:
- A retrospective and prospective study was conducted at a university hospital in Norway.
- 22 patients with internal rectal intussusception underwent resection rectopexy via open or laparoscopically-assisted techniques.
- Symptomatic outcomes were primarily measured using the validated KESS score, assessing 10 constipation-related symptoms.
Main Results:
- A significant reduction in all 10 assessed symptoms was observed post-operatively.
- Constipation prevalence decreased from 20 to 8 patients (p = 0.000), with no new cases.
- Colonic transit time improved in 70% of patients with pre-existing constipation, alongside symptom score reduction.
Conclusions:
- Resection rectopexy demonstrates significant improvement in symptoms of internal rectal intussusception.
- The procedure effectively addresses constipation and the sensation of incomplete rectal evacuation.
- The surgical approach is associated with acceptable morbidity rates.