当前位置： SCI文献检索 > WORLD JOURNAL OF SURGERY期刊下所有文献 > Randomized controlled trial between perineal and anal repairs of rectocele in obstructed defecation.

Randomized controlled trial between perineal and anal repairs of rectocele in obstructed defecation.

Abstract：

OBJECTIVE:The present study was designed to evaluate functional outcome of perineal repair with and without levatorplasty versus transanal repair of rectocele in obstructed defecation. METHODS AND PATIENTS:A total of 48 multiparous women with obstructed defecation caused by a rectocele were randomly allocated to three groups: transperineal repair with levatorplasty (TPR-LP; n = 16); transperineal repair without levatorplasty (TPR; n = 16); and transanal repair (TAR; n = 16). The study included defecographic assessment, anal manometry, symptom improvement, sexual function, and score on a function questionnaire. Assessments were done preoperatively and 6 months postoperatively. RESULTS:Defecography showed significant reduction in size of rectocele in all groups. Constipation improved significantly in both groups with transperineal repair but not in the group with transanal repair. Significant reductions in mean anal resting pressure, maximum reflex volume, and urge-to-defecate volume were observed only with the transperineal approach (with and without levatorplasty). Functional score improved significantly in the transperineal groups (with levatorplasty, P < 0.001; without levatorplasty, P < 0.01), but not in the transanal group (P = 0.142). Levatorplasty added to transperineal repair significantly improved the overall functional score compared with transperineal repair alone (P < 0.01) and transanal repair TAR (P < 0.001). CONCLUSIONS:Rectocele repair appears to improve anorectal function by improving rectal urge sensitivity. Transperineal repair of rectocele is superior to transanal repair in both structural and functional outcome. Levatorplasty improves functional outcome, but potential effects on dyspareunia should be discussed with the patient.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Farid M,Madbouly KM,Hussein A,Mahdy T,Moneim HA,Omar W

doi

10.1007/s00268-010-0390-y

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

822-9

issue

4

eissn

0364-2313

issn

1432-2323

journal_volume

34

pub_type

杂志文章,随机对照试验

相关文献

WORLD JOURNAL OF SURGERY文献大全
  • Correction to: Differences in Characteristics and Outcome of Patients with Penetrating Injuries in the USA and the Netherlands: A Multi-institutional Comparison.

    abstract：:In the original article Dennis Den Hartog's name was tagged incorrectly. It is correct as reflected here. ...

    journal_title：World journal of surgery

    pub_type： 杂志文章,已发布勘误

    doi：10.1007/s00268-019-04957-5

    authors： Dijkink S,Krijnen P,Hage A,Van der Wilden GM,Kasotakis G,Den Hartog D,Salim A,Goslings JC,Bloemers FW,Rhemrev SJ,King DR,Velmahos GC,Schipper IB

    更新日期：2019-05-01 00:00:00

  • Preoperative Albumin-Bilirubin Grade Predicts Recurrences After Radical Gastrectomy in Patients with pT2-4 Gastric Cancer.

    abstract：BACKGROUND:The albumin-bilirubin (ALBI) score was initially developed for assessing liver dysfunction severity and was suggested to have prognostic value in patients with hepatocellular carcinoma. We aimed to evaluate the prognostic impact of ALBI grade in patients with advanced gastric cancer (GC) after radical gastre...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-017-4234-x

    authors： Kanda M,Tanaka C,Kobayashi D,Uda H,Inaoka K,Tanaka Y,Hayashi M,Iwata N,Yamada S,Fujii T,Sugimoto H,Murotani K,Fujiwara M,Kodera Y

    更新日期：2018-03-01 00:00:00

  • Surgery for Pheochromocytoma: A Single-Center Review of 60 Cases from South Africa.

    abstract：BACKGROUND:There is a paucity of data on the presentation and surgical management of pheochromocytoma in developing nations, particularly in Africa. METHODS:This study was a retrospective review, which included all patients managed by the Groote Schuur Hospital/University of Cape Town Endocrine Surgery unit for pheoch...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-020-05420-6

    authors： Nel D,Panieri E,Malherbe F,Steyn R,Cairncross L

    更新日期：2020-06-01 00:00:00

  • Moving from data collection to application: a systematic literature review of surgical capacity assessments and their applications.

    abstract：BACKGROUND:Over the past decade, assessments of surgical capacity in low- and middle-income countries (LMICs) have contributed to our understanding of barriers to the delivery of surgical services in a number of countries. It is yet unclear, however, how the findings of these assessments have been applied and built upo...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-014-2938-8

    authors： Carlson LC,Lin JA,Ameh EA,Mulwafu W,Donkor P,Derbew M,Rodas E,Mkandawire NC,Dhanaraj M,Yangni-Angate H,Sani R,Labib M,Barbero R,Clarke D,Smith MD,Sherman L,Mutyaba FA,Alexander P,Hadley LG,VanRooyen MJ,Kushner AL

    更新日期：2015-04-01 00:00:00

  • Pancreaticoduodenal resection for malignancy in a low-volume center: long-term outcomes from a developing country.

    abstract：BACKGROUND:The technical complexity of pancreatic resection has made it a specialized procedure performed in high-volume centers. It has been shown that patients operated on in high-volume pancreatobiliary centers have fewer complications and better survival. The purpose of this study was to share our experience with a...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-014-2644-6

    authors： Bhatti AB,Yusuf MA,Kazmi SA,Syed AA

    更新日期：2014-10-01 00:00:00

  • Detection of disseminated medullary thyroid carcinoma cells in cervical lymph nodes by cytokeratin 20 reverse transcription-polymerase chain reaction.

    abstract：:Local recurrence in differentiated and medullary thyroid carcinoma develops frequently from metastatic infiltration of cervical lymph nodes. Despite an aggressive surgical approach, postoperative calcitonin levels as biochemical evidence for residual cancer cells remain often elevated in patients with medullary thyroi...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-001-0197-y

    authors： Weber T,Amann K,Weckauf H,Lacroix J,Weitz J,Schönfuss T,Hölting T,Klar E,Herfarth C,von Knebel Doeberitz M

    更新日期：2002-02-01 00:00:00

  • Contribution to the history of plastic and reconstructive surgery from Dubrovnik and split during the fourteenth to sixteenth centuries.

    abstract：:Medieval contracts for medical treatment are, without doubt, evidence of proper and adequate insight into the quality of operations performed centuries ago. Historical archives in Dalmatian cities have preserved a certain number of such contracts. Their contents assist in better understanding our historical heritage. ...

    journal_title：World journal of surgery

    pub_type： 历史文章,杂志文章

    doi：10.1007/s002680010176

    authors： Bacic J,Skrobolja A,Kojic N,Polanda-Bacic G

    更新日期：2000-08-01 00:00:00

  • Recurrence of hydatid disease.

    abstract：:Surgical management of hepatic hydatid disease has been associated with an overall local recurrence rate of approximately 10%. Local recurrence is rarely seen following complete resection of an intact cyst and is usually the result of spillage of live parasites or leaving a residual cyst wall containing germinal epith...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s002680020011

    authors： Sielaff TD,Taylor B,Langer B

    更新日期：2001-01-01 00:00:00

  • Musculature of the alimentary tract.

    abstract：:Leiomyomas and leiomyosarcomas are derived from smooth muscle tissues. Smooth muscle cells also surround the blood vessels that supply the alimentary tract. These cells have at times been said to contribute to the formation of smooth muscle tumors in the alimentary canal. With such an abundance of smooth muscle, there...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689910063

    authors： Skandalakis JE

    更新日期：2000-04-01 00:00:00

  • Epidermal growth factor receptor (EGFR) expression is associated with a worse prognosis in gastric cancer patients undergoing curative surgery.

    abstract：BACKGROUND:In gastric cancer, the recurrence rate is high even after curative surgery. A relevant issue is the identification of independent prognostic factors to select high-risk patients; such features can be used as predictive factors for tailored therapies. In this study we have investigated the role of epidermal g...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-007-9016-4

    authors： Galizia G,Lieto E,Orditura M,Castellano P,Mura AL,Imperatore V,Pinto M,Zamboli A,De Vita F,Ferraraccio F

    更新日期：2007-07-01 00:00:00

  • Trends in Prevalence of Thyroid Cancer Over Three Decades: A Retrospective Cohort Study of 17,526 Surgical Patients.

    abstract：INTRODUCTION:Thyroid cancer (TC) incidence has been increasing in recent years. The aim of this study was to investigate our institution-based estimates of operative volumes for TC over the last three decades. MATERIALS AND METHODS:This was a retrospective cohort study of patients undergoing thyroid surgery at our ins...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-015-3322-z

    authors： Konturek A,Barczyński M,Stopa M,Nowak W

    更新日期：2016-03-01 00:00:00

  • Effective of pneumoperitoneum induced by carbon dioxide and air on tumor load in a rat model.

    abstract：:Laparoscopic surgery for malignant disease is highly controversial mainly due to the large number of abdominal wall metastases being reported. Previous experimental studies have particularly studied CO2 pneumoperitoneum and its effect on tumor development. The purpose of this study was to compare CO2- and air-induced ...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689900418

    authors： Lundberg O,Kristoffersson A

    更新日期：1998-05-01 00:00:00

  • Antibiotics Versus Appendicectomy for the Treatment of Uncomplicated Acute Appendicitis: An Updated Meta-Analysis of Randomised Controlled Trials.

    abstract：BACKGROUND:Uncomplicated acute appendicitis has been managed traditionally by early appendicectomy. However, recently, there has been increasing interest in the potential for primary treatment with antibiotics, with studies finding this to be associated with fewer complications than appendicectomy. The aim of this stud...

    journal_title：World journal of surgery

    pub_type： 杂志文章,meta分析

    doi：10.1007/s00268-016-3561-7

    authors： Rollins KE,Varadhan KK,Neal KR,Lobo DN

    更新日期：2016-10-01 00:00:00

  • Topical Steroids Are Effective in the Treatment of Idiopathic Granulomatous Mastitis.

    abstract：BACKGROUND:Idiopathic granulomatous mastitis (IGM) is a rare, benign, and chronic disease of the breast. Despite the various treatment approaches described for this disease, a gold standard treatment modality has not yet been defined. In this study, the effect of topical steroids was reviewed and assessed in patients w...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-015-3147-9

    authors： Altintoprak F,Kivilcim T,Yalkin O,Uzunoglu Y,Kahyaoglu Z,Dilek ON

    更新日期：2015-11-01 00:00:00

  • Cervical pharyngoesophageal and laryngotracheal injuries.

    abstract：:Aerodigestive tract injuries in the neck are found in about 7% of penetrating neck injuries and are very rare in blunt trauma. A combination of a good physical examination with endoscopy and esophagography can reliably diagnose all significant injuries. Airway control in laryngotracheal trauma is the most urgent prior...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-001-0057-9

    authors： Demetriades D,Velmahos GG,Asensio JA

    更新日期：2001-08-01 00:00:00

  • Evaluation of Patient Satisfaction, Impact and Disability-Free Survival After a Surgical Mission in Madagascar: A Pilot Survey.

    abstract：BACKGROUND:Billions of people worldwide lack access to safe affordable surgery. Surgical missions and non-governmental organisations (NGO) are vital in meeting this need, but long-term outcomes are rarely reported. Mercy Ships is a surgical NGO, and we aimed to measure disability-free survival, impact and patient satis...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-016-3745-1

    authors： White M,Alcorn D,Randall K,Duncan S,Klassen H,Shrime M

    更新日期：2017-02-01 00:00:00

  • Leukocyte activation by isolated hyperthermic liver and limb perfusion due to malignancy.

    abstract：:Fourteen patients with liver tumor malignancy and sixteen patients with malignant melanoma localized to one limb were studied regarding leukocyte activation with the release of polymorphonuclear neutrophilic (PMN) elastase and of neopterin and formation of cytokines (TNF-alpha and IL-6) during the surgical treatment. ...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/BF00299787

    authors： Arnestad JP,Bengtsson A,Bengtson JP,Hafström L,Redl H,Schlag G

    更新日期：1995-11-01 00:00:00

  • Carcinoembryonic antigen levels in the peritoneal cavity: useful guide to peritoneal recurrence and prognosis for gastric cancer.

    abstract：:At the time of laparotomy, peritoneal washings were collected from 155 gastric cancer patients and the levels of carcinoembryonic antigen (CEA) determined. The CEA levels in peritoneal washings were statistically independent of those in sera and could more reliably predict the presence of peritoneal metastasis than a ...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/BF00316997

    authors： Nishiyama M,Takashima I,Tanaka T,Yoshida K,Toge T,Nagata N,Iwamori S,Tamura Y

    更新日期：1995-01-01 00:00:00

  • Intraperitoneal pethidine versus intramuscular pethidine for the relief of pain after laparoscopic cholecystectomy: randomized trial.

    abstract：:Laparoscopic cholecystectomy is widely used and may be performed as an ambulatory procedure. We undertook a randomized comparison of the benefits of intraperitoneal pethidine compared with intramuscular pethidine for postoperative analgesia following laparoscopic cholecystectomy. A series of 100 consecutive American S...

    journal_title：World journal of surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/s00268-002-6339-z

    authors： O'Hanlon DM,Colbert S,Ragheb J,McEntee GP,Chambers F,Moriarty DC

    更新日期：2002-12-01 00:00:00

  • Insulin-Treated Patients with Diabetes Mellitus Undergoing Emergency Abdominal Surgery Have Worse Outcomes than Patients Treated with Oral Agents.

    abstract：BACKGROUND:Diabetes mellitus (DM) is a known risk factor for worse outcomes after emergency abdominal surgery (EAS). However, it is unclear if the type of diabetes treatment (insulin or oral agents) has any effect on outcomes after EAS. METHODS:Matched cohort study utilizing the ACS NSQIP database. Patients with DM un...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-016-3469-2

    authors： Haltmeier T,Benjamin E,Beale E,Inaba K,Demetriades D

    更新日期：2016-07-01 00:00:00

  • Electrorectography in chronic constipation.

    abstract：:The rectal electrical activity recorded by electrorectogram (ERG) was studied in 22 chronically constipated subjects and 16 healthy volunteers. The latter had a mean (+/- SD) age of 42.6 +/- 8.5 years; 10 were men and 6 women. Of the 22 constipated patients, 14 had inertia-type constipation (IC; age 44.6 +/- 10.2 year...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/BF00295930

    authors： Shafik A

    更新日期：1995-09-01 00:00:00

  • Tragic knowledge: truth telling and the maintenance of hope in surgery.

    abstract：:Surgeons often are faced with the challenge of balancing truth telling and the maintenance of hope in the setting of a poor prognosis. This ethical dilemma is informed by conflicting appeals to principles of autonomy and nonmaleficence, where a patient's right to be told important medical information must be weighed a...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-014-2566-3

    authors： Suri M,McKneally M,Devon K

    更新日期：2014-07-01 00:00:00

  • Laboratory studies in cross-species lung transplantation.

    abstract：:The lack of sufficient suitable human donor lungs for the many patients requiring pulmonary transplantation as life-saving therapy for end-stage lung diseases has generated extensive interest in cross-species lung transplantation. Ethical concerns and those of animal rights advocates have prompted studies of nonprimat...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s002689900332

    authors： Kamholz SL,Brewer RJ,Grijalva G,Burack J,Del Rio MJ,Vaynblatt M,Lawson N,Squinto S,Fodor WL,Norin AJ

    更新日期：1997-11-01 00:00:00

  • Factors of failure for nonoperative management of blunt liver and splenic injuries.

    abstract：:A review of the literature describing the management of hepatic and splenic injuries indicates that as many as 67% of exploratory celiotomies for blunt trauma are reported as nontherapeutic. Avoiding unnecessary surgery through nonoperative management offers an attractive alternative. Nonetheless, nonoperative managem...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-001-0138-9

    authors： Ochsner MG

    更新日期：2001-11-01 00:00:00

  • Early predictor of mortality due to irreversible posthepatectomy liver failure in patients with hepatocellular carcinoma.

    abstract：BACKGROUND:Although mortality after liver resection has declined, posthepatectomy liver failure (PHLF) remains a major cause of operative mortality. To date there is not consensus on a definition for PHLF. However, there have been many efforts to define PHLF causing operative mortality. In the present study we sought t...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-013-1959-z

    authors： Kim SH,Kang DR,Lee JG,Kim DY,Ahn SH,Han KH,Chon CY,Kim KS

    更新日期：2013-05-01 00:00:00

  • ICU Risk Stratification Models Feasible for Use in Sub-Saharan Africa Show Poor Discrimination in Malawi: A Prospective Cohort Study.

    abstract：BACKGROUND:Critical illness disproportionately affects people in low-income countries (LICs). Efforts to improve critical care in LICs must account for differences in demographics and infrastructure compared to high-income settings. Part of this effort includes the development and validation of intensive care unit (ICU...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s00268-019-05078-9

    authors： Prin M,Pan S,Kadyaudzu C,Li G,Charles A

    更新日期：2019-10-01 00:00:00

  • Clinicopathologic and immunohistochemical studies of papillary thyroid microcarcinoma presenting with cervical lymphadenopathy.

    abstract：:Although most papillary thyroid microcarcinomas (PMCs) are of little clinical significance, patients with PMCs occasionally have an unfavorable outcome, especially when they present with bulky nodal metastasis or distant metastasis. We have attempted to identify "high-risk" PMCs by evaluating clinical, pathologic, and...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/s002689900461

    authors： Sugitani I,Yanagisawa A,Shimizu A,Kato M,Fujimoto Y

    更新日期：1998-07-01 00:00:00

  • Clinicopathological study on carcinoma of the extrahepatic bile duct with special focus on cancer invasion on the surgical margins.

    abstract：:To clarify the clinical significance of the status of surgical margins, especially the dissected margin in the transverse direction, a clinicopathologic study was performed on 60 patients with carcinoma of the bile duct who underwent radical resection. The patients in group A (n = 28) had no cancer invasion within 5 m...

    journal_title：World journal of surgery

    pub_type： 杂志文章

    doi：10.1007/BF00298931

    authors： Ogura Y,Takahashi K,Tabata M,Mizumoto R

    更新日期：1994-09-01 00:00:00

  • Evidence-based assessment of the role of ultrasonography in the management of benign thyroid nodules.

    abstract：BACKGROUND:Although ultrasonographic (US) evaluation is currently recommended for the workup of all palpable thyroid nodules, little guidance exists regarding the manner in which US data are to be used. Herein, we examine the available evidence and recommend how US can be used most effectively to predict malignancy. We...

    journal_title：World journal of surgery

    pub_type： 杂志文章,评审

    doi：10.1007/s00268-008-9494-z

    authors： Morris LF,Ragavendra N,Yeh MW

    更新日期：2008-07-01 00:00:00

  • Incisional hernia after laparotomy: prospective randomized comparison between early-absorbable and late-absorbable suture materials.

    abstract：:Incisional hernia is a serious postoperative complication of laparotomy. Selecting an appropriate suture material may lessen such morbidity. This study undertook a prospective, randomized comparison of early-absorbable polyglactin 910 suture versus late-absorbable polydioxanone loop suture for fascial closure after ab...

    journal_title：World journal of surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/s002689910120

    authors： Hsiao WC,Young KC,Wang ST,Lin PW

    更新日期：2000-06-01 00:00:00