Cargando…
Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females
BACKGROUND: Internal rectal prolapse (IRP) is one of the most common causes of obstructive constipation. The incidence of IRP in women is approximately three times that in men. IRP is mainly treated by surgery, which can be divided into two categories: Abdominal procedures and perineal procedures. T...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7723707/ https://www.ncbi.nlm.nih.gov/pubmed/33344586 http://dx.doi.org/10.12998/wjcc.v8.i23.5876 |
_version_ | 1783620398929149952 |
---|---|
author | Yang, Yang Cao, Yong-Li Zhang, Yuan-Yao Shi, Shou-Sen Yang, Wei-Wei Zhao, Nan Lyu, Bing-Bing Zhang, Wen-Li Wei, Dong |
author_facet | Yang, Yang Cao, Yong-Li Zhang, Yuan-Yao Shi, Shou-Sen Yang, Wei-Wei Zhao, Nan Lyu, Bing-Bing Zhang, Wen-Li Wei, Dong |
author_sort | Yang, Yang |
collection | PubMed |
description | BACKGROUND: Internal rectal prolapse (IRP) is one of the most common causes of obstructive constipation. The incidence of IRP in women is approximately three times that in men. IRP is mainly treated by surgery, which can be divided into two categories: Abdominal procedures and perineal procedures. This study offers a better procedure for the treatment of IRP. AIM: To compare the clinical efficacy of laparoscopic integral pelvic floor/ligament repair (IPFLR) combined with a procedure for prolapse and hemorrhoids (PPH) and the laparoscopic IPFLR alone in the treatment of IRP in women. METHODS: This study collected the clinical data of 130 female patients with IRP who underwent surgery from January 2012 to October 2014. The patients were divided into groups A and B. Group A had 63 patients who underwent laparoscopic IPFLR alone, and group B had 67 patients who underwent the 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 groups and within groups before surgery and 6 mo and 2 years after surgery. RESULTS: All laparoscopic surgeries were successful. The general information, number of bowel movements before surgery, DIRP, GIQLI score, WIS score, and WCS score before surgery were not significantly different between the two groups (all P > 0.05). The WCS score, WIS score, GIQLI score, and DIRP in each group 6 mo, and 2 years after surgery were significantly better than before surgery (P < 0.001). In group A, the DIRP and WCS score gradually improved from 6 mo to 2 years after surgery (P < 0.001), and the GIQLI score progressively improved from 6 mo to 2 years after surgery (P < 0.05). In group B, the DIRP, WCS score and WIS score significantly improved from 6 mo to 2 years after surgery (P < 0.05), and the GIQLI score 2 years after surgery was significantly higher than that 6 mo after surgery (P < 0.05). The WCS score, WIS score, GIQLI score, and DIRP of group B were significantly better than those of group A 6 mo and 2 years after surgery (all P < 0.001, Bonferroni) except DIRP at 2 years after surgery. There was a significant difference in the recurrence rate of IRP between the two groups 6 mo after surgery (P = 0.011). There was no significant difference in postoperative grade I-III complications between the two groups (P = 0.822). CONCLUSION: Integral theory–guided laparoscopic IPFLR combined with PPH has a higher cure rate and a better clinical efficacy than laparoscopic IPFLR alone. |
format | Online Article Text |
id | pubmed-7723707 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-77237072020-12-18 Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females Yang, Yang Cao, Yong-Li Zhang, Yuan-Yao Shi, Shou-Sen Yang, Wei-Wei Zhao, Nan Lyu, Bing-Bing Zhang, Wen-Li Wei, Dong World J Clin Cases Retrospective Cohort Study BACKGROUND: Internal rectal prolapse (IRP) is one of the most common causes of obstructive constipation. The incidence of IRP in women is approximately three times that in men. IRP is mainly treated by surgery, which can be divided into two categories: Abdominal procedures and perineal procedures. This study offers a better procedure for the treatment of IRP. AIM: To compare the clinical efficacy of laparoscopic integral pelvic floor/ligament repair (IPFLR) combined with a procedure for prolapse and hemorrhoids (PPH) and the laparoscopic IPFLR alone in the treatment of IRP in women. METHODS: This study collected the clinical data of 130 female patients with IRP who underwent surgery from January 2012 to October 2014. The patients were divided into groups A and B. Group A had 63 patients who underwent laparoscopic IPFLR alone, and group B had 67 patients who underwent the 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 groups and within groups before surgery and 6 mo and 2 years after surgery. RESULTS: All laparoscopic surgeries were successful. The general information, number of bowel movements before surgery, DIRP, GIQLI score, WIS score, and WCS score before surgery were not significantly different between the two groups (all P > 0.05). The WCS score, WIS score, GIQLI score, and DIRP in each group 6 mo, and 2 years after surgery were significantly better than before surgery (P < 0.001). In group A, the DIRP and WCS score gradually improved from 6 mo to 2 years after surgery (P < 0.001), and the GIQLI score progressively improved from 6 mo to 2 years after surgery (P < 0.05). In group B, the DIRP, WCS score and WIS score significantly improved from 6 mo to 2 years after surgery (P < 0.05), and the GIQLI score 2 years after surgery was significantly higher than that 6 mo after surgery (P < 0.05). The WCS score, WIS score, GIQLI score, and DIRP of group B were significantly better than those of group A 6 mo and 2 years after surgery (all P < 0.001, Bonferroni) except DIRP at 2 years after surgery. There was a significant difference in the recurrence rate of IRP between the two groups 6 mo after surgery (P = 0.011). There was no significant difference in postoperative grade I-III complications between the two groups (P = 0.822). CONCLUSION: Integral theory–guided laparoscopic IPFLR combined with PPH has a higher cure rate and a better clinical efficacy than laparoscopic IPFLR alone. Baishideng Publishing Group Inc 2020-12-06 2020-12-06 /pmc/articles/PMC7723707/ /pubmed/33344586 http://dx.doi.org/10.12998/wjcc.v8.i23.5876 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Retrospective Cohort Study Yang, Yang Cao, Yong-Li Zhang, Yuan-Yao Shi, Shou-Sen Yang, Wei-Wei Zhao, Nan Lyu, Bing-Bing Zhang, Wen-Li Wei, Dong Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
title | Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
title_full | Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
title_fullStr | Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
title_full_unstemmed | Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
title_short | Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
title_sort | clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females |
topic | Retrospective Cohort Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7723707/ https://www.ncbi.nlm.nih.gov/pubmed/33344586 http://dx.doi.org/10.12998/wjcc.v8.i23.5876 |
work_keys_str_mv | AT yangyang clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT caoyongli clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT zhangyuanyao clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT shishousen clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT yangweiwei clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT zhaonan clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT lyubingbing clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT zhangwenli clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales AT weidong clinicalefficacyofintegraltheoryguidedlaparoscopicintegralpelvicfloorligamentrepairinthetreatmentofinternalrectalprolapseinfemales |