Abstract：
BACKGROUND:Previous studies of the outcome after perineal stapled prolapse resection (PSPR) have included a limited number of patients with a short follow-up and high recurrence rates. The present study was designed to assess the initial results, complications, recurrence rate, and outcomes up to 4 years after PSPR, as well as the need for a repeated procedure. METHODS:Fifty-four consecutive patients with rectal prolapse (mean age 77.2 years, range 46-93 years; n = 3 men) were selected for PSPR between May 2009 and February 2015. Prolapse length was measured at baseline and after surgery. Patients were asked to grade intensity of symptoms as a satisfaction score of 1-10, 10 representing being symptom-free. RESULTS:The mean operation time was 45.3 min (SD = 17.5, range 25-95 min). The mean rectal prolapse length was reduced significantly from 9.5 cm (SD = 5.0, range 4-30 cm) to 1.2 cm (SD = 2.6, range 0-10 cm; p < 0.0001). Bleeding requiring surgical intervention occurred in two patients (3.7%). Postoperative satisfaction score increased from a mean of 2.2 (SD = 0.9) to a mean of 6.4 (SD = 2.8, p ≤ 0.0001). After a mean follow-up of 13.4 months (SD = 14.1), six patients with recurrence underwent a new PSPR and five patients underwent colostomy, mainly because of incontinence, resulting in a recurrence rate of 20.4%. There were no complications after redo PSPR, and after a median of 10-month follow-up (range 6-37), there were no recurrences. CONCLUSIONS:PSPR is a rather new surgical procedure for external rectal prolapse. Immediate complications are few and not serious. Although recurrences can be treated with a second PSPR, the operation may only be the best option for old and fragile patients with comorbidities and a short life expectancy.
journal_name
Tech Coloproctoljournal_title
Techniques in coloproctologyauthors
Raahave D,Jensen AK,Dammegaard L,Pedersen IKdoi
10.1007/s10151-016-1557-9subject
Has Abstractpub_date
2016-12-01 00:00:00pages
853-857issue
12eissn
1123-6337issn
1128-045Xpii
10.1007/s10151-016-1557-9journal_volume
20pub_type
杂志文章abstract：BACKGROUND:Various predictors of perioperative risk for patients with rectal cancer undergoing radical resection have been well described, but no simple scoring system for surgeons to estimate this risk currently exists. The objective of this study was to develop a system for more accurate preoperative evaluations of c...
journal_title：Techniques in coloproctology
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abstract：:We present a new video-assisted minimally invasive technique for the treatment of pilonidal disease (E.P.Si.T: endoscopic pilonidal sinus treatment). Between March and November 2012, we operated on 11 patients suffering from pilonidal disease. Surgery is performed under local or spinal anesthesia using the Meinero fis...
journal_title：Techniques in coloproctology
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
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journal_title：Techniques in coloproctology
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doi：10.1007/s10151-004-0068-2
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-010-0603-2
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abstract：:The purpose of this systematic review was to compare the diagnostic ability of blood markers for colorectal cancer (CRC). A systematic review of the literature for diagnostic blood markers for primary human colorectal cancer over the last 5 years was performed. The primary outcome was to assess the diagnostic ability ...
journal_title：Techniques in coloproctology
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doi：10.1007/s10151-018-1820-3
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abstract：:Transanal advancement flap repair (TAFR) has been advocated as the treatment of choice for patients with low rectovaginal fistulas. Recently, several studies have reported a significantly lower healing rate. We also encountered low healing rates after TAFR. In an attempt to improve our results, we added labial fat fla...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-012-0934-2
更新日期：2013-02-01 00:00:00
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journal_title：Techniques in coloproctology
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-015-1395-1
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0738-9
更新日期：2011-10-01 00:00:00
abstract：:Unfortunately, the 2nd affiliation of Dr. M. Shalaby has been missed out in the original publication. The complete 2nd affiliation of the same is given below. ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,已发布勘误
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更新日期：2018-10-01 00:00:00
abstract：INTRODUCTION:Colorectal transport in idiopathic fecal incontinence has scarcely been studied, and it remains to be investigated in patients with fecal incontinence and anal sphincter lesion. The aim of the present study was to compare colorectal transport during defecation in patients with idiopathic fecal incontinence...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-010-0652-6
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Pelvic exenteration remains a viable and effective treatment option for the management of locally advanced or recurrent pelvic malignancy. The aim of this study was to present an early experience of robotic multivisceral resection of pelvic malignancy, and to compare this experience with similar series throu...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02290-x
更新日期：2020-11-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,多中心研究
doi：10.1007/s10151-017-1613-0
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Perineal wound complications are frequently observed after abdominoperineal resection (APR) for rectal cancer, especially in preoperatively irradiated patients. This is the first study to investigate whether local application of gentamicin-impregnated collagen fleece reduces deep perineal wound infection aft...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-008-0440-8
更新日期：2008-12-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,多中心研究
doi：10.1007/s10151-004-0109-x
更新日期：2004-11-01 00:00:00
abstract：BACKGROUND:The aim of this study was to assess the long-term outcomes of laparoscopic rectopexy for full-thickness rectal prolapse (FTRP). METHODS:Data of a prospectively maintained database were analysed. A structured telephone interview was conducted to assess a consecutive series of long-term outcomes of an unselec...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-018-1913-z
更新日期：2019-01-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 临床试验,杂志文章
doi：10.1007/s10151-006-0296-8
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abstract：:Hepatic resection for colorectal liver metastases remains the only therapeutic option that improves long-term survival and offers potential cure. By conventional resectability criteria, only a limited number of patients with metastatic disease can be subjected to surgical intervention. In the past decade, better under...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0750-0
更新日期：2011-10-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s101510170001
更新日期：2001-08-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-007-0355-9
更新日期：2007-09-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-017-1654-4
更新日期：2017-07-01 00:00:00
abstract：:Guidelines for the treatment of anal fissure have been published in the USA and UK but differ. Many centers follow guidelines based on local experience. In December 2005, we met with the aim of developing an evidence-based treatment algorithm for anal fissure, applicable to both primary and secondary care. This algori...
journal_title：Techniques in coloproctology
pub_type： 共识发展会议,杂志文章
doi：10.1007/s10151-006-0276-z
更新日期：2006-10-01 00:00:00
abstract：:Turnbull and Cutait described abdominoperineal pull-through followed by delayed coloanal anastomosis (DCA) in 1961. DCA could reduce anastomotic leaks, pelvic morbidity and use of stomas. Strong evidence about its clinical benefits is still lacking. This systematic review examined the clinical outcomes of DCA for the ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-014-1132-1
更新日期：2014-06-01 00:00:00
abstract：:Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0696-2
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Management of anal fistula (AF) remains challenging with many controversies. The purpose of this study was to explore current surgical practice in the management of AF with a focus on technical variations among surgeons. METHODS:An online survey was conducted by inviting all surgeons and physicians on the m...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-019-02051-5
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:Studies have shown differences in postoperative outcomes between two minimally invasive extraction methods for colorectal lesions-natural orifice specimen extraction surgery (NOSES) and conventional laparoscopic surgery (CLS). The aim of this study was to discover the major differences in NOSES and CLS to re...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-020-02330-6
更新日期：2020-08-26 00:00:00
abstract：BACKGROUND:The aim of this study was to report the outcomes of sacral neuromodulation (SNM) in chronic pelvic pain (CPP) patients in the Finnish national cohort. METHODS:This was a register-based retrospective study, involving all the centers that provide SNM treatment in Finland. The data of all patients treated with...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02148-2
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:The aim of this study is to underscore the incidence of synchronous polyps in patients with colorectal cancer and to emphasise the importance of their perioperative detection and management. PATIENTS AND METHODS:Three hundred and seven patients underwent a potentially curative resection for colorectal cance...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-004-0117-x
更新日期：2004-11-01 00:00:00
