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Comparison of abdominal and perineal approach for recurrent rectal prolapse
PURPOSE: Rectal prolapse is a benign disease in which the rectum protrudes below the anus. Although many studies have been reported on the treatment of primary rectal prolapse for many years, there is a lack of treatment or clinical research results on recurrent rectal prolapse. This study aimed to...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998957/ https://www.ncbi.nlm.nih.gov/pubmed/36910558 http://dx.doi.org/10.4174/astr.2023.104.3.150 |
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author | Chung, Jun Seong Ju, Jae Kyun Kwak, Han Deok |
author_facet | Chung, Jun Seong Ju, Jae Kyun Kwak, Han Deok |
author_sort | Chung, Jun Seong |
collection | PubMed |
description | PURPOSE: Rectal prolapse is a benign disease in which the rectum protrudes below the anus. Although many studies have been reported on the treatment of primary rectal prolapse for many years, there is a lack of treatment or clinical research results on recurrent rectal prolapse. This study aimed to evaluate the outcomes of surgical approaches for recurrent rectal prolapse. METHODS: We studied patients who underwent surgical treatment for recurrent rectal prolapse disease from March 2016 to February 2021. We analyzed the previous operation methods in patients with recurrent rectal prolapse, as well as the operation time, complication rate, hospital stay, and re-recurrence rates in the perineal and abdominal approach groups. RESULTS: Out of a total of 239 patients, 41 patients who underwent surgery for recurrent rectal prolapse were retrospectively enrolled. Recurrent rectal prolapses were surgically treated either by the perineal approach (n = 25, 61.0%) or by the abdominal approach (n = 16, 39.0%). The operation times were significantly longer in the abdominal approach than in the perineal approach (98.44 minutes vs. 58.00 minutes, P = 0.001). Hospital stay was significantly longer in the abdominal approach than in the perineal approach (9.19 days vs. 6.00 days, P = 0.012). Re-recurrence rate after repeat repair was not significantly different between the 2 groups (P = 0.777). CONCLUSION: Although the perineal approach shortened the operation time and hospital stay, there were no significant differences between the 2 groups in postoperative complications and re-recurrence rate. Both approaches can be good surgical options for the treatment of recurrent rectal prolapse. |
format | Online Article Text |
id | pubmed-9998957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-99989572023-03-11 Comparison of abdominal and perineal approach for recurrent rectal prolapse Chung, Jun Seong Ju, Jae Kyun Kwak, Han Deok Ann Surg Treat Res Original Article PURPOSE: Rectal prolapse is a benign disease in which the rectum protrudes below the anus. Although many studies have been reported on the treatment of primary rectal prolapse for many years, there is a lack of treatment or clinical research results on recurrent rectal prolapse. This study aimed to evaluate the outcomes of surgical approaches for recurrent rectal prolapse. METHODS: We studied patients who underwent surgical treatment for recurrent rectal prolapse disease from March 2016 to February 2021. We analyzed the previous operation methods in patients with recurrent rectal prolapse, as well as the operation time, complication rate, hospital stay, and re-recurrence rates in the perineal and abdominal approach groups. RESULTS: Out of a total of 239 patients, 41 patients who underwent surgery for recurrent rectal prolapse were retrospectively enrolled. Recurrent rectal prolapses were surgically treated either by the perineal approach (n = 25, 61.0%) or by the abdominal approach (n = 16, 39.0%). The operation times were significantly longer in the abdominal approach than in the perineal approach (98.44 minutes vs. 58.00 minutes, P = 0.001). Hospital stay was significantly longer in the abdominal approach than in the perineal approach (9.19 days vs. 6.00 days, P = 0.012). Re-recurrence rate after repeat repair was not significantly different between the 2 groups (P = 0.777). CONCLUSION: Although the perineal approach shortened the operation time and hospital stay, there were no significant differences between the 2 groups in postoperative complications and re-recurrence rate. Both approaches can be good surgical options for the treatment of recurrent rectal prolapse. The Korean Surgical Society 2023-03 2023-02-28 /pmc/articles/PMC9998957/ /pubmed/36910558 http://dx.doi.org/10.4174/astr.2023.104.3.150 Text en Copyright © 2023, the Korean Surgical Society https://creativecommons.org/licenses/by-nc/4.0/Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Chung, Jun Seong Ju, Jae Kyun Kwak, Han Deok Comparison of abdominal and perineal approach for recurrent rectal prolapse |
title | Comparison of abdominal and perineal approach for recurrent rectal prolapse |
title_full | Comparison of abdominal and perineal approach for recurrent rectal prolapse |
title_fullStr | Comparison of abdominal and perineal approach for recurrent rectal prolapse |
title_full_unstemmed | Comparison of abdominal and perineal approach for recurrent rectal prolapse |
title_short | Comparison of abdominal and perineal approach for recurrent rectal prolapse |
title_sort | comparison of abdominal and perineal approach for recurrent rectal prolapse |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9998957/ https://www.ncbi.nlm.nih.gov/pubmed/36910558 http://dx.doi.org/10.4174/astr.2023.104.3.150 |
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