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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
Midterm results after perineal stapled prolapse resection for external rectal prolapse
Diana Sehmer1, Lukas Marti, Katja Wolff
1Clinic of Surgery, Cantonal Hospital, Schaffhausen, Switzerland.
Diseases of the Colon and Rectum
|December 11, 2012
Summary
Perineal stapled prolapse resection offers a quick and reliable treatment for rectal prolapse, showing good functional results and high patient satisfaction. This surgical option provides a viable alternative with midterm recurrence rates comparable to other established procedures.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Perineal stapled prolapse resection (PSPR) is recognized for improving continence in external rectal prolapse.
- Previous studies highlight its short operation times and low complication rates.
Purpose of the Study:
- To evaluate midterm recurrence rates following PSPR.
- To assess functional outcomes and patient satisfaction after PSPR.
- To establish PSPR as a viable treatment for rectal prolapse.
Main Methods:
- Retrospective study conducted at a Swiss tertiary hospital.
- Inclusion of 56 consecutive patients undergoing PSPR between November 2007 and October 2011.
- Assessment of recurrence rates, Wexner incontinence scores, and visual analog scale for patient satisfaction.
Main Results:
- Midterm follow-up available for 82% of patients (n=46) after a median of 25.5 months.
- A 3-year recurrence rate of 19.7% was observed.
- Significant improvement in Wexner incontinence scores (14.5 to 4.0, p < 0.0001) and high patient satisfaction (median score 9/10).
Conclusions:
- PSPR is an effective alternative for rectal prolapse treatment.
- Recurrence rates are comparable to Altemeier-Mikulicz or Delorme procedures.
- The technique is quick, reliable, and suitable for elderly patients.
