|
KMID : 0371420221020040234
|
|
Annals of Surgical Treatment and Research
2022 Volume.102 No. 4 p.234 ~ p.240
|
|
|
Clinical outcomes of surgical management for recurrent rectal prolapse: a multicenter retrospective study
|
|
Hong Kwang-Dae
Hyun Kee-Hoon
Um Jun-Won
Yoon Seo-Gue
Hwang Do-Yeon
Shin Jae-Won
Lee Doo-Seok
Baek Se-Jin
Kang Sang-Hee
Min Byung-Wook
Park Kyu-Joo
Ryoo Seung-Bum
Oh Heung-Kwon
Kim Min-Hyun
Chung Choon-Sik
Joh Yong-Geul
|
|
|
Abstract
|
|
|
Purpose: There are few reports on outcomes following surgical repair of recurrent rectal prolapse. The purpose of this study was to examine surgical outcomes for recurrent rectal prolapse.
Methods: We conducted a multicenter retrospective study of patients who underwent surgery for recurrent rectal prolapse. This study used data collected by the Korean Anorectal Physiology and Pelvic Floor Disorder Study Group.
Results: A total of 166 patients who underwent surgery for recurrent rectal prolapse were registered retrospectively between 2011 and 2016 in 8 referral hospitals. Among them, 153 patients were finally enrolled, excluding 13 patients who were not followed up postoperatively. Median follow-up duration was 40 months (range, 0.2?129.3 months). Methods of surgical repair for recurrent rectal prolapse included perineal approach (n = 96) and abdominal approach (n = 57). Postoperative complications occurred in 16 patients (10.5%). There was no significant difference in complication rate between perineal and abdominal approach groups. While patients who underwent the perineal approach were older and more fragile, patients who underwent the abdominal approach had longer operation time and admission days (P < 0.05). Overall, 29 patients (19.0%) showed re-recurrence after surgery. Among variables, none affected the re-recurrence.
Conclusion: For the recurrent rectal prolapse, the perineal approach is used for the old and fragile patients. The postoperative complications and re-recurrence rate between perineal and abdominal approach were not different significantly. No factor including surgical method affected re-recurrence for recurrent rectal prolapse.
|
|
|
KEYWORD
|
|
|
Abdomen/surgery, Perineum/surgery, Rectal prolapse, Recurrence
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|