[Laparoscopic therapy of functional disorders of the rectum and pelvic floor].
Within 4.5 years, 72 laparoscopic rectopexies were performed. The indications included rectal prolapse, morphologic outlet-constipation and a combination of both. Using a modified suture rectopexy (according to Sudeck), without taking any foreign material we resected the sigmoid in 39 patients. In four cases, a resection of the sigmoid colon was carried out. Conversion rate was 2% and complications that needed reoperation occurred in 9%. No patient died; laparotomy rate was only 4%. In the mean follow up period of 24.1 months (max. 50 months), no recurrent prolapse occurred. Incontinence was abolished or improved in 64% and outlet-constipation was improved in 85%. Laparoscopic rectopexy with or without sigmoid resection seems to be of benefit for the patient: quicker convalescence; less pain; small scars; no recurrence; and improvement of constipation and incontinence.
Herold
A
A
Klinik für Chirurgie, Medizinische Universität Lübeck.
Bruch
H P
HP
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000601:surgery; D003109:Colonic Diseases, Functional / Q000209:etiology / Q000601:surgery*; D003248:Constipation / Q000209:etiology / Q000601:surgery*; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012005:Rectal Prolapse / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome
Laparoskopische Therapie von Funktionsstörungen des Rektums und des Beckenbodens.