Effect of laparoscopic rectopexy with Douglas pouch repair and the procedure for prolapse and hemorrhoids for complete rectal prolapse
10.3760/cma.j.cn113855-20200221-00107
- VernacularTitle:腹腔镜盆底修复直肠悬吊联合痔上黏膜环切吻合术治疗完全性直肠脱垂的疗效分析
- Author:
Bingbing LYU
1
;
Dong WEI
;
Yuanyao ZHANG
;
Weiwei YANG
Author Information
1. 中国人民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
- From:
Chinese Journal of General Surgery
2020;35(9):713-715
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate treatment of laparoscopic rectopexy with Douglas pouch repair plus the procedure for prolapse and hemorrhoids (PPH) for complete rectal prolapse (CRP).Methods:A total of 36 CRP patients treated by laparoscopic rectopexy associated with the procedure for PPH at No. 989 Hospital of PLA between Oct 2014 and June 2017 were retrospectively analyzed.Results:Operations were successful in all these 36 cases.One patient developed left post-op hydronephrosis and no other major complications were observed , such as intra-abdominal hemorrhage, infection. 2 of 36 patients developed recurrent prolapse. The constipation score and incontinence score at the 12th month after operation were significantly different from those before operation[(5.97±1.36) vs.(10.92±1.96), t=17.39, P<0.05; (6.28±1.49) vs.(10.81±2.16), t=16.32, P<0.05]. The constipation score and incontinence score at the 24th month after operation were significantly different from those before operation[(5.81±1.28) vs.(10.92±1.96), t=15.36, P<0.05 ; (6.03±1.67) vs.(10.81±2.16), t=14.64, P<0.05]. But there was no significant difference on the 12th and 24th month after surgery ( t=0.85, P>0.05 and t=1.12, P>0.05). Conclusions:Laparoscopic rectopexy with Douglas pouch repair plus the procedure for PPH for CRP is a effective treatment.
