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A comparison between Marlex and resection rectopexy.

G S Duthie1, D C Bartolo

  • 1Department of Surgery, Bristol Royal Infirmary, England.

The Netherlands Journal of Surgery
|December 1, 1989
PubMed
Summary
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Sphincter recovery and constipation do not directly impact continence after rectopexy. Improved anorectal sensation, not sphincter function, appears key to better postoperative continence following anterior and posterior Marlex rectopexy (APR) and resection and rectopexy (RR).

Area of Science:

  • Colorectal surgery
  • Pelvic floor disorders
  • Surgical outcomes

Background:

  • Rectopexy procedures, including anterior and posterior Marlex rectopexy (APR) and resection and rectopexy (RR), are performed for various anorectal conditions.
  • Understanding factors influencing postoperative continence is crucial for patient recovery and surgical success.

Purpose of the Study:

  • To investigate the role of sphincter recovery and postoperative constipation in achieving continence after APR and RR.
  • To assess changes in anorectal sensation and rectal filling perception following these surgical procedures.

Main Methods:

  • Comparison of continence, bowel frequency, straining, and incomplete emptying between APR and RR groups pre- and post-operatively.
  • Measurement of upper anal canal electrosensitivity and the volume for appreciation of rectal filling before and after surgery.

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Main Results:

  • No significant differences in bowel frequency, straining, or incomplete emptying were observed between groups, although overall emptying improved.
  • Postoperative reduction in upper anal canal electrosensitivity and the volume for appreciation of rectal filling were noted in both APR and RR groups.
  • Continence was not found to be directly dependent on sphincter recovery or postoperative constipation.

Conclusions:

  • Postoperative continence after rectopexy is not solely reliant on sphincter muscle recovery or the presence of constipation.
  • Enhanced anorectal sensation appears to be a significant contributing factor to improved continence following rectopexy procedures.