Clinical Outcome and Surgical Technique of Laparoscopic Posterior Rectopexy Using the Mesh With Anti-adhesion Coating
| Autor: | Yasunori Matsuda, Masahiro Nishikawa, Satoshi Nishizawa, Hokuto Ushijima, Taigo Tokuhara, Yoshinori Yane |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Urinary system Operative Time Severity of Illness Index Cohort Studies 03 medical and health sciences 0302 clinical medicine Severity of illness medicine Humans Minimally Invasive Surgical Procedures Cumulative incidence Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study Recovery of Function Rectal Prolapse Perioperative Middle Aged Plastic Surgery Procedures Surgical Mesh medicine.disease Surgery Rectal prolapse Pneumonia Treatment Outcome Surgical mesh 030220 oncology & carcinogenesis Female Laparoscopy 030211 gastroenterology & hepatology Patient Safety business Follow-Up Studies |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 29:e41-e44 |
| ISSN: | 1530-4515 |
| DOI: | 10.1097/sle.0000000000000651 |
| Popis: | We herein present an innovative technique of laparoscopic posterior mesh rectopexy (LPMR) for full-thickness rectal prolapse and report the clinical outcomes in our institution. Ten consecutive patients who were treated with our latest LPMR technique using mesh with an anti-adhesion coating from June 2014 to May 2017 were retrospectively analyzed. All patients were women with a mean age of 63.6 years (range, 39 to 82 y). The median operative time and blood loss volume were 197.5 minutes (range, 156 to 285 min) and 0 mL (range, 0 to 152 mL), respectively. No perioperative complications occurred, including surgical site infection, pneumonia, urinary dysfunction, and intestinal obstruction. The median follow-up duration was 768 days (range, 396 to 1150 d). During the follow-up, the cumulative incidence of full-thickness rectal prolapse and any mesh-related complications was 0. It may be possible to eliminate retroperitoneal closure using a mesh with an anti-adhesion coating. Our LPMR technique appears safe and acceptable. |
| Databáze: | OpenAIRE |
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