Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis
[Objectives] To evaluate the value of modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis. [Methods] This was a retrospective analysis of 13 patients receiving modified Bacon’s procedure as repeated sphincter-preserving operation for benign re...
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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2022-02-01
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| Series: | 结直肠肛门外科 |
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| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=465&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC1%E6%9C%9F |
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| author | Xia Wenhao Huang Ping Wu Zuoyou Zhang Weiwei Weng Heyu Chen Qi |
| author_facet | Xia Wenhao Huang Ping Wu Zuoyou Zhang Weiwei Weng Heyu Chen Qi |
| author_sort | Xia Wenhao |
| collection | DOAJ |
| description | [Objectives] To evaluate the value of modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis. [Methods] This was a retrospective analysis of 13 patients receiving modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis at the Affiliated Sir Run Run Hospital of the Nanjing Medical University. We explored the value of this procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis. [Results] All surgeries were uneventful. The duration of surgery ranged from 300 to 535 min with an median duration of 384 (330, 458) min. The intraoperative blood loss ranged from 50 to 1 150 mL with an median amount of 375(75, 450) mL. There were no postoperative complications such as postoperative bleeding, anastomotic leakage, anal stenosis, presacral infection, and necrosis of the external bowel. One patient had rectal mucosal prolapse at five months after surgery, this patient underwent resection of prolapsed mucosa and postoperative pelvic floor exercises for sphincter function and showed good recovery. Patients were followed up for 4 months to 3 years. All patients showed good bowel function recovery at 6 months (Willianms score: seven cases were grade A, four were grade B, and one was grade C). In terms of daily bowel movement, five patients had 1~2 times, six patients had 3~4 times, and one patient had >4 times of bowel movement. The remaining one patient who was followed up for 4 months had grade C bowel function and >4 times of bowel movement per day. [Conclusion] For patients with benign rectal anastomotic stenosis who failed multiple mechanical dilatation, endoscopy, interventional treatments, or other non-abdominal surgeries, modified Bacon’s procedure could be considered sphincter-preserving treatment option. |
| format | Article |
| id | doaj-art-cda52d3c7157455db40f3f6d01adc868 |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-02-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-cda52d3c7157455db40f3f6d01adc8682025-08-20T03:10:09ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-02-01281737610.19668/j.cnki.issn1674-0491.2022.01.016Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosisXia Wenhao0Huang Ping1Wu Zuoyou2Zhang Weiwei3Weng Heyu4Chen Qi5Department of Colorectal and Anal Surgery, The Affiliated Sir Run Run Hospital of the Nanjing Medical University, Nanjing 211166, Jiangsu, ChinaDepartment of Colorectal and Anal Surgery, The Affiliated Sir Run Run Hospital of the Nanjing Medical University, Nanjing 211166, Jiangsu, ChinaDepartment of Colorectal and Anal Surgery, The Affiliated Sir Run Run Hospital of the Nanjing Medical University, Nanjing 211166, Jiangsu, ChinaDepartment of Colorectal and Anal Surgery, The Affiliated Sir Run Run Hospital of the Nanjing Medical University, Nanjing 211166, Jiangsu, ChinaDepartment of Colorectal and Anal Surgery, The Affiliated Sir Run Run Hospital of the Nanjing Medical University, Nanjing 211166, Jiangsu, ChinaDepartment of Colorectal and Anal Surgery, The Affiliated Sir Run Run Hospital of the Nanjing Medical University, Nanjing 211166, Jiangsu, China[Objectives] To evaluate the value of modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis. [Methods] This was a retrospective analysis of 13 patients receiving modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis at the Affiliated Sir Run Run Hospital of the Nanjing Medical University. We explored the value of this procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis. [Results] All surgeries were uneventful. The duration of surgery ranged from 300 to 535 min with an median duration of 384 (330, 458) min. The intraoperative blood loss ranged from 50 to 1 150 mL with an median amount of 375(75, 450) mL. There were no postoperative complications such as postoperative bleeding, anastomotic leakage, anal stenosis, presacral infection, and necrosis of the external bowel. One patient had rectal mucosal prolapse at five months after surgery, this patient underwent resection of prolapsed mucosa and postoperative pelvic floor exercises for sphincter function and showed good recovery. Patients were followed up for 4 months to 3 years. All patients showed good bowel function recovery at 6 months (Willianms score: seven cases were grade A, four were grade B, and one was grade C). In terms of daily bowel movement, five patients had 1~2 times, six patients had 3~4 times, and one patient had >4 times of bowel movement. The remaining one patient who was followed up for 4 months had grade C bowel function and >4 times of bowel movement per day. [Conclusion] For patients with benign rectal anastomotic stenosis who failed multiple mechanical dilatation, endoscopy, interventional treatments, or other non-abdominal surgeries, modified Bacon’s procedure could be considered sphincter-preserving treatment option.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=465&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC1%E6%9C%9Fbenign rectal anastomotic stenosismodified bacon’s proceduresphincter-preserving operation |
| spellingShingle | Xia Wenhao Huang Ping Wu Zuoyou Zhang Weiwei Weng Heyu Chen Qi Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis 结直肠肛门外科 benign rectal anastomotic stenosis modified bacon’s procedure sphincter-preserving operation |
| title | Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis |
| title_full | Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis |
| title_fullStr | Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis |
| title_full_unstemmed | Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis |
| title_short | Modified Bacon’s procedure as repeated sphincter-preserving operation for benign rectal anastomotic stenosis |
| title_sort | modified bacon s procedure as repeated sphincter preserving operation for benign rectal anastomotic stenosis |
| topic | benign rectal anastomotic stenosis modified bacon’s procedure sphincter-preserving operation |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=465&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC1%E6%9C%9F |
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