Effectiveness analysis of perineal surgery and abdominal surgery for rectal prolapse: A single-center retrospective study
[Objective] To analyze the effectiveness of perineal surgery and abdominal surgery for rectal prolapse. [Methods] A retrospective analysis was conducted on the clinical data of 108 patients with rectal prolapse who underwent perineal surgery (Altemeier procedure, Delorme procedure) or abdominal surg...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-10-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=506&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
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| Summary: | [Objective] To analyze the effectiveness of perineal surgery and abdominal surgery for rectal prolapse. [Methods] A retrospective analysis was conducted on the clinical data of 108 patients with rectal prolapse who underwent perineal surgery (Altemeier procedure, Delorme procedure) or abdominal surgery (laparoscopic rectopexy) from March 2013 to September 2019 in our hospital. The patients were grouped according to the different surgical approaches, with 64 cases in the perineal surgery group and 44 cases in the abdominal surgery group. The surgical-related indicators and recurrence during the follow-up period were observed and recorded. [Results] Compared with the perineal surgery group, the abdominal surgery group had a longer operation time, shorter postoperative hospital stay, and lower overall incidence of complications within 30 days after surgery, with statistically significant differences in both groups (all P < 0.05). There were no deaths in either group within 30 days after surgery. The median follow-up time after surgery in the perineal surgery group was 25.5 (13.0, 41.8) months. Among the 55 patients who were followed up according to the established plan, the recurrence rate was 45.5% (25/55). The median follow-up time after surgery in the abdominal surgery group was 17.5 (12.0, 27.0) months. Among the 40 patients who were followed up according to the established plan, the recurrence rate was 15% (6/40). [Conclusion] Both perineal surgery (Altemeier procedure, Delorme procedure) and abdominal surgery (laparoscopic rectopexy) are effective methods for treating rectal prolapse. The short-term incidence of complications is lower with abdominal surgery for rectal prolapse. |
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| ISSN: | 1674-0491 |