Patients' Perception of Long-term Outcome After Laparoscopic Ventral Mesh Rectopexy; Single Tertiary Center Experience
| Autor: | Roel Bolckmans, Naeem Iqbal, K. J. Gorissen, Keshara Ratnatunga, Chris Cunningham, Ian Lindsey, Sandeep Singh, Oliver Jones |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Mesh rectopexy Pelvic Pain 03 medical and health sciences 0302 clinical medicine Medicine Fecal incontinence Humans business.industry Pelvic pain Background data Rectum Mean age Rectal Prolapse Middle Aged Surgical Mesh Surgery Patient perceptions Treatment Outcome 030220 oncology & carcinogenesis Quality of Life 030211 gastroenterology & hepatology Laparoscopy Perception Obstructed defecation medicine.symptom Sexual function business Fecal Incontinence |
| Zdroj: | Annals of surgery. 276(5) |
| ISSN: | 1528-1140 |
| Popis: | OBJECTIVE To assess patients' long-term outcome and satisfaction after laparoscopic ventral mesh rectopexy (LVMR). SUMMARY BACKGROUND DATA Data on the long-term outcome and satisfaction of patients undergoing LVMR are limited. METHODS Patients who underwent LVMR between 2004 and 2017 were identified from a prospectively maintained database. We attempted to contact all patients by telephone for an interview using a standardized questionnaire to record pre-LVMR symptoms, long-term outcome, and overall satisfaction. RESULTS Total number of patients who underwent LVMR was 848 and 99(12%) were deceased at follow-up (FU). In the end, 544(64%) patients were contacted successfully and 478(56%) were able to complete the questionnaire. Median time elapsed since surgery was 7 years and mean age was 62 years. Patients' reported pre-operative symptoms were obstructed defecation syndrome (ODS) in 40%, fecal incontinence (FI) in 22%, combination of ODS and FI in 21% and other conditions in 17%. Bowel symptoms were reported as improved by 69% of patients and worse by 12%. Pelvic pain was reported to be improved in 47% of the patients after LVMR but new onset of pelvic pain appeared in 15%. Sexual function was reported to be better and worse with equal frequency. Overall, 63% of the patients were satisfied with the outcome and 76% would recommend this procedure to others with similar symptoms. CONCLUSION LVMR offers acceptable long-term outcomes and satisfaction. There is a mixed impact on pelvic pain and sexual function which requires careful consideration in counselling patients for this procedure. |
| Databáze: | OpenAIRE |
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