Clinical observation of procedure for prolapse and hemorrhoids for outlet obstructive constipation caused by rectocele

VernacularTitle:痔上黏膜环切术治疗直肠前突所致出口梗阻型便秘的疗效观察
Author: Zhongwei ZHANG ; Yang LIU ; Ming LU
Publication Type:Journal Article
Keywords: rectocele; procedure for prolapse and hemorrhoids; rectoanal manometry
From: Journal of Clinical Surgery 2016;24(10):774-776
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical effectiveness of procedure for prolapse and hemorrhoids(PPH)in the treatment of outlet obstructive constipation caused by moderate and severe recto-cele. Methods A total of 48 patients with moderate or severe rectocele were treated with PPH. Patients were followed up for 4 ~ 6 months. The preoperative and postoperative parameters from rectoanal manome-try were compared and analyzed. Results After the surgery,patients had loose stool for 1 ~ 2 times a day. Sense of defecation obstruction in all patients was obviously improved. After the surgery,there were no significant changes in rectum resting pressure,anal resting pressure and various rectal sensitivity( P >0. 05). However,the decrease of inside rectal pressure and residual anal pressure were significantly re-duced(P < 0. 05). Conclusion The subjective defecation feeling of postoperative patients with PPH is unblock. Objective results of rectoanal manometry is clearly improved and the function of the rectum and anal canal is obviously restored.