| Autor: |
Koimtzis G; Department of Oesophageal and Gastric Surgery, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK., Stefanopoulos L; Department of Electrical and Computer Engineering, Northwestern University, 633 Clark St., Evanston, IL 60208, USA., Geropoulos G; Western General Hospital, NHS Lothian, Crewe Road South, Edinburgh EH4 2XU, UK., Chalklin CG; Cardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK., Karniadakis I; Cardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK., Alawad AA; Cardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff CF14 4XW, UK., Alexandrou V; Urology Department, General Hospital of Thessaloniki 'G. Gennimata-Agios Dimitrios', Elenis Zografou 2, 54634 Thessaloniki, Greece., Tteralli N; Department of General Surgery, North Hampshire NHS Foundation Trust, Basingstoke RG24 9NA, UK., Carrington-Windo E; Department of General Surgery, Grange University Hospital, Caerleon Road, Llanfrechfa, Cwmbran NP44 8YN, UK., Papacharalampous A; Department of Surgery Larnaca General Hospital Pandoras, Larnaca 6301, Cyprus., Psarras K; School of Medicine, Second Surgical Propedeutic Department, Ippokrateio General Hospital, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54642 Thessaloniki, Greece. |
| Abstrakt: |
(1) Background: Rectal prolapse is a benign condition that mainly affects females and the elderly. The most common symptoms are constipation and incontinence. The treatment of choice is surgical, but so far, there has been no gold standard method. The aim of this study is to compare the two most common intrabdominal procedures utilized for treating rectal prolapse: the resection rectopexy and the mesh rectopexy. (2) Methods: In this study, we conducted a thorough systematic review and meta-analysis of the available literature and compared the two different approaches regarding their complication rate, recurrence rate, and improvement of symptoms rate. (3) Results: No statistically significant difference between the two methods was found regarding the operating time, the length of stay, the overall complication rate, the surgical site infection rate, the cardiopulmonary complication rate, the improvement in constipation and incontinence rates, and the recurrence rate. (4) Conclusions: Our study revealed that mesh rectopexy and resection rectopexy for rectal prolapse have similar short- and long-term outcomes. As a result, the decision for the procedure used should be individualized and based on the surgeon's preference and expertise. |
