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[Continence after low anterior resection (author's transl)]
Langenbecks Archiv Fur Chirurgie
|April 22, 1977
Summary
Fecal continence is typically restored after low anterior resection surgery for rectal cancer. Objective measurements confirm high rates of fecal continence in patients with low rectal anastomoses.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Pelvic Floor Function
Context:
- Low anterior resection (LAR) is a common surgical procedure for rectal cancer.
- Fecal incontinence is a significant concern following LAR, impacting quality of life.
- Objective assessment of anorectal function is crucial for evaluating surgical outcomes.
Purpose:
- To assess fecal continence and anorectal function after low anterior resection.
- To evaluate the relationship between anastomosis height and continence outcomes.
- To objectively measure functional recovery post-rectal surgery.
Summary:
- This study investigated fecal continence in 28 patients post-low anterior resection.
- Anorectal function was assessed using pressure measurements, electromyography, and anal-rectal angle determination.
- Defecatography was performed in 12 patients.
- Excellent fecal continence (96%) was observed in patients with anastomoses below 8 cm, with only one patient remaining incontinent after two years.
- Objective functional assessments corroborated the high rate of continence.
Impact:
- Demonstrates high rates of functional recovery and fecal continence after LAR.
- Provides objective evidence supporting the efficacy of LAR for rectal cancer treatment.
- Informs patient counseling regarding functional outcomes and quality of life after rectal surgery.