Long-term results of rectocele surgical treatment

Aim of investigation. Evaluation of quality of life and studying of long-term results of treatment in patients after rectocele surgery.Material and methods. Original study included patients (n=41), operated in State Scientific Center of Coloproctology for rectocele in 2007 to 2011. Age of patients w...

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Main Authors: Yu. A. Shelygin, A. Yu. Titov, O. M. Biryukov, A. A. Mudrov, L. P. Orlova, A. A. Tikhonov, Yu. A. Dzhanayev, M. A. Voynov
Format: Article
Language:Russian
Published: Gastro LLC 2013-09-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1224
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author Yu. A. Shelygin
A. Yu. Titov
O. M. Biryukov
A. A. Mudrov
L. P. Orlova
A. A. Tikhonov
Yu. A. Dzhanayev
M. A. Voynov
author_facet Yu. A. Shelygin
A. Yu. Titov
O. M. Biryukov
A. A. Mudrov
L. P. Orlova
A. A. Tikhonov
Yu. A. Dzhanayev
M. A. Voynov
author_sort Yu. A. Shelygin
collection DOAJ
description Aim of investigation. Evaluation of quality of life and studying of long-term results of treatment in patients after rectocele surgery.Material and methods. Original study included patients (n=41), operated in State Scientific Center of Coloproctology for rectocele in 2007 to 2011. Age of patients was 24 to 64 years (mean —48,95±9,09). The plasty of rectovaginal septum was executed by an implant in 23 patients (56,1%), in 18 (43,9%) Longo's procedure, including combination to plasty of rectovaginal septum by polypropylene implant in 9 cases (21,6%). Results of surgery were estimated in terms of 6 to 60 months after operation. The median follow-up period was 36 months.Results. Good and satisfactory results of treatment were achieved in 28 (70,7%) patients. improvement rectum function was marked in comparison to preoperative period. Unsatisfactory results were registered in 12 (29,3%) patients which postsurgical state did not improve.Conclusion. Analysis of results indicated, that evacuatory function of the rectum in the first 2 years after operation improved at 85,4% of patients, however eventually in 46,3% it worsened. It was found also, that results of operation did not depend on the method of rectocele surgery. During the study statistically significant factors influencing results of rectocele treatment were revealed: age of patients, duration of constipation and number of deliveries in past history, as well as the presence of internal rectal intussusception.
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-9dfeae1406e34890afd0e824dfc5ee4b2025-02-10T16:14:33ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732013-09-012347985806Long-term results of rectocele surgical treatmentYu. A. Shelygin0A. Yu. Titov1O. M. Biryukov2A. A. Mudrov3L. P. Orlova4A. A. Tikhonov5Yu. A. Dzhanayev6M. A. Voynov7Federal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationFederal state-funded institution «State scientific center of coloproctology» Ministry of heathcare of the Russian FederationAim of investigation. Evaluation of quality of life and studying of long-term results of treatment in patients after rectocele surgery.Material and methods. Original study included patients (n=41), operated in State Scientific Center of Coloproctology for rectocele in 2007 to 2011. Age of patients was 24 to 64 years (mean —48,95±9,09). The plasty of rectovaginal septum was executed by an implant in 23 patients (56,1%), in 18 (43,9%) Longo's procedure, including combination to plasty of rectovaginal septum by polypropylene implant in 9 cases (21,6%). Results of surgery were estimated in terms of 6 to 60 months after operation. The median follow-up period was 36 months.Results. Good and satisfactory results of treatment were achieved in 28 (70,7%) patients. improvement rectum function was marked in comparison to preoperative period. Unsatisfactory results were registered in 12 (29,3%) patients which postsurgical state did not improve.Conclusion. Analysis of results indicated, that evacuatory function of the rectum in the first 2 years after operation improved at 85,4% of patients, however eventually in 46,3% it worsened. It was found also, that results of operation did not depend on the method of rectocele surgery. During the study statistically significant factors influencing results of rectocele treatment were revealed: age of patients, duration of constipation and number of deliveries in past history, as well as the presence of internal rectal intussusception.https://www.gastro-j.ru/jour/article/view/1224rectoceledisorder of evacuatory functionsyndrome of perineum ptosis
spellingShingle Yu. A. Shelygin
A. Yu. Titov
O. M. Biryukov
A. A. Mudrov
L. P. Orlova
A. A. Tikhonov
Yu. A. Dzhanayev
M. A. Voynov
Long-term results of rectocele surgical treatment
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
rectocele
disorder of evacuatory function
syndrome of perineum ptosis
title Long-term results of rectocele surgical treatment
title_full Long-term results of rectocele surgical treatment
title_fullStr Long-term results of rectocele surgical treatment
title_full_unstemmed Long-term results of rectocele surgical treatment
title_short Long-term results of rectocele surgical treatment
title_sort long term results of rectocele surgical treatment
topic rectocele
disorder of evacuatory function
syndrome of perineum ptosis
url https://www.gastro-j.ru/jour/article/view/1224
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AT ayutitov longtermresultsofrectocelesurgicaltreatment
AT ombiryukov longtermresultsofrectocelesurgicaltreatment
AT aamudrov longtermresultsofrectocelesurgicaltreatment
AT lporlova longtermresultsofrectocelesurgicaltreatment
AT aatikhonov longtermresultsofrectocelesurgicaltreatment
AT yuadzhanayev longtermresultsofrectocelesurgicaltreatment
AT mavoynov longtermresultsofrectocelesurgicaltreatment