Integral theory-guided laparoscopic pelvic floor/ligament repair in the treatment of women's internal rectal prolapse
10.3760/cma.j.cn113855-20210629-00391
- VernacularTitle:盆底整体理论指导的腹腔镜盆底韧带修复治疗女性直肠内脱垂的疗效分析
- Author:
Yang YANG
1
;
Yongli CAO
;
Yuanyao ZHANG
;
Shousen SHI
;
Weiwei YANG
;
Nan ZHAO
;
Xinchen WANG
;
Wenli ZHANG
;
Dong WEI
Author Information
1. 解放军联勤保障部队第九八九医院全军肛肠外科研究所，洛阳 471031
- Keywords:
Rectal prolapse;
Pelvic floor;
Ligament;
Reconstructive surgical procedures
- From:
Chinese Journal of General Surgery
2022;37(5):361-365
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy of laparoscopic integral pelvic floor/ligament repair (IPFLR) combined with a procedure for prolapse and hemorrhoids (PPH) and that laparoscopic IPFLR alone in the treatment of internal rectal prolapse (IRP) in women.Methods:Patients were divided into groups A in which 63 patients undergoing laparoscopic IPFLR alone, and group B of 67 patients reciving laparoscopic IPFLR combined with PPH. The degree of internal rectal prolapse (DIRP), Wexner constipation scale (WCS) score, Wexner incontinence scale (WIS) score, and Gastrointestinal Quality of Life Index (GIQLI) score were compared between these two groups and in each group those before surgery and 6 months, 2 years, and 5 years after surgery.Results:The number of bowel movements , DIRP, WCS score, WIS score, and GIQLI score before surgery were not significantly different between the two groups (all P>0.05). The DIRP, WCS score, WIS score, and GIQLI score in each group 6 months, 2 years, and 5 years after surgery in both two groups were significantly better than those before surgery (all P<0.001). The DIRP, WCS score, WIS score, and GIQLI score in group B were significantly better than those in group A at 6 months, 2 years, and 5 years after surgery (all P<0.05) except DIRP at 2 years after surgery (all P<0.05). There was a significant difference in the recurrence rate of IRP between the two groups when evaluated at 5 years after surgery ( P=0.001). Conclusions:Integral theory-guided laparoscopic IPFLR combined with PPH has a higher cure rate and a better clinical efficacy than laparoscopic IPFLR alone.
