Long-term results and functional outcome after ripstein rectopexy
| Autor: | C. Johansson, Inkeri Schultz, Anders F. Mellgren, Bo Holmström, Anders Dolk |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Constipation Adolescent medicine.medical_treatment Rectum Fecal Impaction Constriction Pathologic Colonic Diseases Postoperative Complications Intussusception (medical disorder) medicine Humans Ureteral Diseases Longitudinal Studies Prospective Studies Defecation Colectomy Aged Retrospective Studies Aged 80 and over Sigmoid Diseases business.industry General surgery Rectovaginal Fistula Gastroenterology Rectal Prolapse General Medicine Middle Aged medicine.disease Colorectal surgery Surgery Survival Rate Rectal prolapse Rectal Diseases Treatment Outcome medicine.anatomical_structure Female medicine.symptom business Intussusception Intestinal Obstruction Procidentia Follow-Up Studies |
| Zdroj: | Diseases of the Colon & Rectum. 43:35-43 |
| ISSN: | 0012-3706 |
| Popis: | PURPOSE: The aim of this study was to evaluate operative mortality, morbidity, and functional results after Ripstein rectopexy for rectal prolapse and internal rectal intussusception. METHODS: Sixty-nine patients with rectal prolapse and 43 with internal rectal intussusception were included. All patient records were studied and complications registered. Long-term follow-up was possible in 105 patients and performed by clinical examination and standardized interview, telephone interview, or patient records. Seventy-six patients were prospectively evaluated, comparing bowel function before and after rectopexy. RESULTS: There was no operative mortality. Operative morbidity was 33 percent, and most complications were minor. Severe early complications included one large-bowel obstruction and one transient ureteric stenosis. Median time of follow-up was seven years in patients with rectal prolapse and 5.4 years in patients with internal rectal intussusception. Late complications included two rectovaginal fistulas and one lethal sigmoid fecaloma. Five patients underwent subtotal colectomy for severe constipation. There was one recurrent prolapse (1.6 percent). Functional evaluation showed that incontinence improved (P=0.049), whereas the number of bowel movements per week decreased (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink