| Autor: |
G G, Delaini, M, Scaglia, L, Hulten |
| Rok vydání: |
1994 |
| Předmět: |
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| Zdroj: |
Annali italiani di chirurgia. 65(2) |
| ISSN: |
0003-469X |
| Popis: |
21 patients (19 women) who underwent rectal prolapse repair were prospectively studied. At the one year follow-up, 6 of the eleven incontinent patients (54 per cent) regained full continence and while three of the remaining 5 patients improved they still referred occasional imperfection of continence. Resting anal pressure and maximal squeeze pressure were both significantly lower in the five patients who remained incontinent, 23 (17-31) mm Hg vs 50 (31-52) mm Hg (p= 0.02) and 52 (17-75) mm Hg vs 108 (89-110) mm Hg (p= 0.02), respectively. Moreover the manometric results showed evidence that in patients who remained incontinent, the anal pressure in response to rectal distention, was significantly lower than patients who regained continence (p= 0.05) both before and after operation. We conclude that incontinent patients with rectal prolapse who exhibit a markedly low minimal residual anal pressure on recto-anal reflex inhibition are less likely to improve after rectopexy and that this preoperative test may be a useful predictor. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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