The clinical study of perineal stapled prolapse resection in treatment with complete rectal prolapse
10.3969/j.issn.1005-6483.2017.03.016
- VernacularTitle:经会阴吻合器直肠脱垂切除术治疗完全性直肠脱垂的临床分析
- Author:
Yongming WANG
;
Congqing JIANG
- Keywords:
complete rectal prolapse;
perineal stapled prolapse resection;
linear stapler
- From:
Journal of Clinical Surgery
2017;25(3):212-214
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and evaluate the clinical curative efficacy of perineal stapled prolapse resection in the treatment of complete rectal prolapse.Methods 15 patients of complete rectal prolapse were all treated by perineal stapled prolapse resection,The anal function of the patients were evaluated according to the Wexner incontinence score standard.Results All patients were successfully completed the operation.Postoperative complications:postoperative bleeding in 2 cases,anastomotic stenosis in 2 cases.These symptoms were relieved after symptomatic treatment.The anal sphincter function was improved in all patients after operation.There were no obvious incontinence.The preoperative Wexner incontinence score was 13.5±1.8,andpostoperative Wexner incontinence score was 4.2±1.5,there were significant statistical difference between them(P<0.05).The mean follow-up were 18 months(2-30 months).There was no recurrence during the follow-up period.Conclusion Perineal stapled prolapse resection as a new type of operation had small trauma,simple operation,less complications and short-term curative effect of good characteristics.They can effectively improve the symptoms of anal incontinence in patients with complete rectal prolapse.
