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01-01-2007

Functional Results of Laparoscopic Resection Rectopexy for Symptomatic Rectal Intussusception

Authors: Michael von Papen, F.R.A.C.S., Luai H. S. Ashari, M.D., John W. Lumley, F.R.A.C.S., Andrew R. L. Stevenson, F.R.A.C.S., Russell W. Stitz, F.R.A.C.S.

Published in: Diseases of the Colon & Rectum | Issue 1/2007

Purpose

This study was designed to assess the role of laparoscopic resection rectopexy for symptomatic rectal intussusception in patients who failed medical treatment. The functional outcomes of laparoscopic resection rectopexy were evaluated.

Methods

Patients who underwent laparoscopic resection rectopexy for rectal intussusception between July 1998 and November 2004 were identified. All patients with obstructed defecation failing medical treatment were included. Data were prospectively collected for the perioperative period. A follow-up questionnaire was used to assess functional outcome.

Results

Between 1998 and 2004, a total of 56 patients (53 females (95 percent); age range, 23–83 years) underwent laparoscopic resection rectopexy for rectal intussusception. The median operative time was 123 minutes. Morbidity was 7 percent, and there was no mortality. Fifty-two patients were available for follow-up, and of these 33 (63 percent) reported an overall improvement in their function after surgery. Of 28 patients suffering constipation, 15 (53 percent) reported an improvement in bowel frequency. Sixty-seven percent of patients incontinent before surgery improved. Symptoms of incomplete evacuation resolved in 38 percent of affected patients. Thirty-six percent of patients needing to strain at stool did not have this problem after surgery. Median follow-up was 44 (range, 15–92) months.

Conclusions

The management of patients with rectal intussusception and obstructed defecation failing medical treatment is challenging. Laparoscopic resection rectopexy is an option that might offer symptomatic relief and improved function. Further studies are required to define the selection criteria to optimize the outcome in this patient group.

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Title: Functional Results of Laparoscopic Resection Rectopexy for Symptomatic Rectal Intussusception
Authors: Michael von Papen, F.R.A.C.S.
Luai H. S. Ashari, M.D.
John W. Lumley, F.R.A.C.S.
Andrew R. L. Stevenson, F.R.A.C.S.
Russell W. Stitz, F.R.A.C.S.
Publication date: 01-01-2007
Publisher: Springer-Verlag
Published in: Diseases of the Colon & Rectum / Issue 1/2007
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-006-0781-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Functional Results of Laparoscopic Resection Rectopexy for Symptomatic Rectal Intussusception

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Purpose

Methods

Results

Conclusions

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