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Rectopexy for internal rectal intussusception.

J L McCue1, J P Thomson

  • 1Professorial Surgical Unit, Medical College of St. Bartholomew's Hospital, London, UK.

The British Journal of Surgery
|June 1, 1990
PubMed
Summary
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Polyvinyl alcohol sponge abdominal rectopexy effectively treated internal rectal intussusception in women, preventing recurrence. However, functional outcomes were mixed, with persistent defaecatory difficulties in some patients.

Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Pelvic Floor Disorders

Background:

  • Internal intussusception of the rectum is a condition causing obstructed defecation and incontinence.
  • Symptomatic internal intussusception affects predominantly women.

Purpose of the Study:

  • To evaluate the efficacy of polyvinyl alcohol sponge abdominal rectopexy for internal rectal intussusception.
  • To assess functional outcomes and recurrence rates following the procedure.

Main Methods:

  • A cohort of twelve female patients with symptomatic internal rectal intussusception underwent polyvinyl alcohol sponge abdominal rectopexy.
  • Follow-up assessment focused on recurrence of intussusception and functional outcomes, including continence and defecatory difficulties.

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Main Results:

  • No recurrence of internal intussusception was observed during a mean follow-up of 26.9 months.
  • While continence improved, with only one patient incontinent for solid stool, functional results were mixed.
  • Rectal discomfort and defecatory difficulties persisted in several patients, with some experiencing worsened straining post-operatively.

Conclusions:

  • Polyvinyl alcohol sponge abdominal rectopexy is effective in preventing recurrence of internal rectal intussusception.
  • The procedure may benefit patients with associated incontinence, rectal bleeding, or solitary rectal ulcer.
  • It may not be beneficial for patients primarily experiencing obstructed defecation, as functional difficulties can persist or worsen.