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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Gastro LLC
2013-09-01
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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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institution | Kabale University |
issn | 1382-4376 2658-6673 |
language | Russian |
publishDate | 2013-09-01 |
publisher | Gastro LLC |
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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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