The European journal of surgery = Acta chirurgica · 1993
Clinical and functional results of abdominal rectopexy with absorbable mesh-graft for treatment of complete rectal prolapse.
Клиническое исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Winde G, Reers B, Nottberg H, Berns T, Meyer J, Bünte H
Аннотация
OBJECTIVE: To report the long term results of abdominal rectopexy in patients with complete rectal prolapse.
DESIGN: Ongoing prospective randomised study.
SETTING: Department of Surgery, Westfälische Wilhelms-University, Münster.
SUBJECTS: 47 patients with complete rectal prolapse operated on between 1982 and 1989.
INTERVENTIONS: Abdominal rectopexy with absorbable mesh made of either polyglycolic acid (n = 17) or polyglactine 910 (n = 30).
MAIN OUTCOME MEASURES: Postoperative complications and late results at a mean of 50.5 (range 2-102) months after operation.
RESULTS: Thirteen patients (28%) developed postoperative complications, most of them minor; there was one enterocutaneous fistula. Thirty five patients (74%) were available for late follow up. There were no case of recurrent prolapse and 5 (14%) had developed mucosal prolapse. Of the 22 patients who had been incontinent before operation, 8 had become totally continent and 6 partially continent Overall continence improved in 18 (51%) of the 35 patients. Three patients who were continent before operation had become incontinent.
CONCLUSION: Absorbable mesh is a suitable material for abdominal rectopexy.
DESIGN: Ongoing prospective randomised study.
SETTING: Department of Surgery, Westfälische Wilhelms-University, Münster.
SUBJECTS: 47 patients with complete rectal prolapse operated on between 1982 and 1989.
INTERVENTIONS: Abdominal rectopexy with absorbable mesh made of either polyglycolic acid (n = 17) or polyglactine 910 (n = 30).
MAIN OUTCOME MEASURES: Postoperative complications and late results at a mean of 50.5 (range 2-102) months after operation.
RESULTS: Thirteen patients (28%) developed postoperative complications, most of them minor; there was one enterocutaneous fistula. Thirty five patients (74%) were available for late follow up. There were no case of recurrent prolapse and 5 (14%) had developed mucosal prolapse. Of the 22 patients who had been incontinent before operation, 8 had become totally continent and 6 partially continent Overall continence improved in 18 (51%) of the 35 patients. Three patients who were continent before operation had become incontinent.
CONCLUSION: Absorbable mesh is a suitable material for abdominal rectopexy.