Laparoscopic ventral rectopexy for the treatment of outlet obstruction associated with recto-anal intussusception and rectocele: A valid alternative to STARR procedure in patients with anal sphincter weakness - 11/09/14
, Jean-Marc Bigourdan a, 3, 4, Marie-Hélène Pissas a, 2, 3, 4, Françoise Guillon b, 1, 2, 4Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
| páginas | 7 |
| Iconografías | 1 |
| Vídeos | 0 |
| Otros | 0 |
Summary |
Objective |
This study was designed to assess the safety and outcomes achieved with Stapled Trans-Anal Rectal Resection (STARR) vs laparoscopic ventral rectopexy (LVR) in obstructed defecation patients.
Method |
From 2002 to 2011, 52 patients (females) had a rectocele with outlet obstruction. After clinical assessment by an Obstructed Defecation Syndrome score (ODS), an anorectal manometry, a defecography and an endoanal ultrasound, the patients underwent either a STARR (n=25) or a LVR (n=27) according to the existence of an asymptomatic anal sphincter injury. Functional results were evaluated clinically and by the preoperative and 18months postoperative ODS score and by an 18months postoperative score of satisfaction.
Results |
Average ages were 56±10years in the STARR and 60±9years in LVR. The 1-month postoperative complication rates were comparable for the 2 groups (25%). Mean length of stay was shorter for STARR than for LVR (5.6±2.1 vs. 7.1±2.9, P=0.009). After treatment, the ODS was lowered by 56% in LVR and 59% in the STARR (P=0.0001) but with no difference between the 2 groups. Eighty percent of patients were very or moderately satisfied after LVR, versus 84% after STARR.
Conclusions |
The 2 surgical procedures obtain good results with 80% of satisfied patients with a length of stay a little shorter in the STARR.
Brief summary |
In our retrospective study, Stapled Trans-Anal Rectal Resection (STARR) and laparoscopic ventral rectopexy improved the outlet obstruction associated with recto-anal intussusception and rectocele.
El texto completo de este artículo está disponible en PDF.Esquema
Vol 38 - N° 4
P. 528-534 - septembre 2014 Regresar al número
Artículo precedente
- Lethal effect of a hyperthermic CO2 pneumoperitoneum on gastric cancer cells
- Jiran Zhang, Dong Tang, Jie Chen, Sen Wang, Jun Gao, Nianyuan Ye, Daorong Wang
- Acquired factor V inhibitor after liver transplantation
- Li-Ying Sun, Zhi-Jun Zhu, Zhi-Gui Zeng, Wei Qu, Lei Zhang, Meng-Su Tian, Xiao-Ye Sun, Wei Rao, Wei Gao, Lin Wei
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
El acceso al texto completo de este artículo requiere una suscripción.
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
La compra de artículos no está disponible en este momento.
¿Ya suscrito a @@106933@@ revista ?