Clinical efficacy of an operation encompassing quadruple procedures for the treatment of grade Ⅲ rectal prolapse
[Objectives] To analyze the clinical efficacy of an operation encompassing quadruple procedures for the treatment of grade Ⅲ rectal prolapse. [Methods] This was a retrospective analysis of 40 patients with grade Ⅲ rectal prolapse treated with an operation encompassing quadruple procedures at the Dep...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-02-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=464&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC1%E6%9C%9F |
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| Summary: | [Objectives] To analyze the clinical efficacy of an operation encompassing quadruple procedures for the treatment of grade Ⅲ rectal prolapse. [Methods] This was a retrospective analysis of 40 patients with grade Ⅲ rectal prolapse treated with an operation encompassing quadruple procedures at the Department of Colorectal Surgery, The First Affiliated Hospital of Hebei University of Traditional Chinese Medicine, between January 2015 and December 2020. Surgical parameters, anal function before and after surgery (Wexner constipation score and Wexner anal incontinence score), pelvic MRI measurements before and after surgery [distance between the upper part of anal canal (DUAC) and pubococcygeal line, anorectal angle (ARA), and distance between the sacrum and rectum (DSR)], postoperative complications and clinical efficacy were analyzed. [Results] The operation time of 40 patients ranged from 81 min to 105 min, and the average operation time was (92.0±6.6) min. Intraoperative blood loss ranged from 21 mL to 64 mL, with an average of (40.8±13.6) mL. The resection mucosa length was 4.8~6.3 cm, with an average length of (5.6±0.4) cm. The length of hospital stay was 10~18 days, and the average length was (13.6±2.3) days. Wexner constipation score and Wexner anal incontinence score were significantly lower than those before surgery (P<0.05). After surgery, resting distance between DUAC and pubococcygeal line and DSR decreased significantly, while ARA increased significantly (P<0.05). There were 3 patients with mild and moderate anal pain after surgery, 1 patient with absorption fever (<37.6℃), 4 patients with postoperative dysuria, and the other 32 patients did not have special discomfort. There was no recurrence during half a year follow-up, among which 39 cases (97.5%) were cured, and 1 case (2.5%) was effective. [Conclusion] The treatment of grade Ⅲ rectal prolapse with an operation encompassing quadruple procedures has good clinical efficacy and can improve the anal function of patients. |
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| ISSN: | 1674-0491 |