Abdominal rectopexy for complete prolapse
| Autor: | M V, Madden, M A, Kamm, R J, Nicholls, A N, Santhanam, R, Cabot, C T, Speakman |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain Constipation Adolescent Anal Canal Rectum Postoperative Complications medicine Humans Prospective Studies Defecation Prospective cohort study Aged business.industry Gastroenterology Rectal Prolapse General Medicine Middle Aged Anal canal medicine.disease Colorectal surgery Abdominal Pain Surgery Rectal prolapse medicine.anatomical_structure Evaluation Studies as Topic Female medicine.symptom business |
| Zdroj: | Diseases of the Colon & Rectum. 35:48-55 |
| ISSN: | 0012-3706 |
| DOI: | 10.1007/bf02053338 |
| Popis: | The effect of abdominal rectopexy on bowel function is difficult to assess in retrospective studies because preoperative bowel habit cannot be determined accurately. This study examined bowel symptoms and physiologic tests of anorectal function prospectively in 23 patients before and at three months after rectopexy. Rectopexy eliminated complete prolapse in all and stopped bleeding in 16 of 18 patients. Incontinence improved significantly. Constipation (less than 3 bowel actions per week or straining for more than 25 percent of defecation time) was relieved in 4 of 11 affected patients but developed in 5 of the 12 who were not constipated preoperatively. Since the median bowel frequency was 21 motions per week before surgery and 17 afterward, the main determinant of constipation was straining. Abdominal pain was relieved after rectopexy in 6 of 12 patients but developed in 3 of 13 who were pain-free before surgery. Three patients (13 percent) had a first-degree relative with rectal prolapse. Perineal descent decreased significantly. Maximal anal resting pressure increased significantly, but this did not correlate significantly with improved continence. Twenty-one patients (91 percent) could expel a 50-ml balloon preoperatively; 18 of those 21 could still do so postoperatively. The two patients who could not expel the balloon preoperatively were able to do so postoperative. This study shows that rectal prolapse is associated with profoundly abnormal defecation and abdominal pain. While abdominal rectopexy improved continence, it may improve or worsen other bowel symptoms, including constipation. |
| Databáze: | OpenAIRE |
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