JoVE - Journal of Visualized Experiments
JoVE Visualize
Contact Us

Research on preventing low anterior resection syndrome following sphincter-preserving surgery for rectal cancer through high-risk screening and pelvic floor biofeedback therapy

  • 0Jiangxi Cancer Hospital & Institute, the Second Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, People's Republic of China.
Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer +

|

March 17, 2025

|

March 17, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

High-risk screening and pelvic floor biofeedback therapy significantly reduce low anterior resection syndrome (LARS) after rectal cancer surgery. This combined approach improves patient recovery and quality of life.

Area Of Science

  • Colorectal Surgery
  • Oncology
  • Pelvic Floor Rehabilitation

Background

  • Sphincter-preserving surgery (SPS) for rectal cancer can lead to low anterior resection syndrome (LARS).
  • Effective prevention strategies for LARS are crucial for improving patient outcomes post-SPS.

Purpose Of The Study

  • To evaluate the effectiveness of high-risk screening combined with pelvic floor biofeedback therapy in preventing LARS.
  • To compare outcomes between a standard care group and a high-risk screening group receiving additional pelvic floor biofeedback therapy.

Main Methods

  • A comparative study involving patients undergoing SPS for rectal cancer.
  • Patients received either standard care or standard care plus high-risk screening and pelvic floor biofeedback.
  • Outcomes measured included LARS scores, incidence rates, anorectal pressure, quality of life, and treatment adherence.

Main Results

  • The high-risk screening group exhibited significantly lower LARS scores and incidence rates postoperatively.
  • Improved anorectal pressure and quality of life scores were observed in the high-risk screening group.
  • Higher treatment adherence was noted in the high-risk screening group compared to the standard care group.

Conclusions

  • Combining high-risk screening with targeted pelvic floor biofeedback therapy is effective in preventing LARS after SPS for rectal cancer.
  • This integrated approach enhances postoperative recovery quality for rectal cancer patients.
  • The findings support the implementation of proactive screening and tailored therapy for LARS prevention.

Keywords:

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy 01:26

38

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Assessment of the Rectum and Anus 01:25

128

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...

Inflammatory Bowel Disease V: Surgical Management 01:21

77

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Strictureplasty
Proctocolectomy or total colectomy with ileostomy
Restorative proctocolectomy with Ileal pouch-anal anastomosis