Early outcomes of laparoscopic procedures performed on military personnel with total rectal prolapse and follow-up.
Total rectal prolapse is a disorder frequently associated with constipation and anal incontinence. The aim of this study was to evaluate the outcomes of the complications, pain management, hospital stay, constipation, and anal functions of the patients undergoing 2 types of laparoscopic surgical approaches. In this study, 33 patients underwent either laparoscopic rectopexy or hand-assisted laparoscopic resection rectopexy. Preoperative colonic transit time, defecation, postoperative pain scoring, pre-postoperative evaluation of the anal function, and the changes in constipation and relating symptoms were assessed. Postoperative evaluation had been performed at the sixth week and the twelfth month. Median operation time was 137 minutes for rectopexy and 230 minutes for resection rectopexy group. Median postoperative hospital stay was 3 days for patients with rectopexy and 7 days for patients with resection rectopexy. Patients needed painkillers in short postoperative period for pain management in both groups. Continence was improved in 11 of 13 patients (84.6%) in a year after laparoscopic surgery. In 15 patients (45.5%), preoperative constipation either remained in the same or became worse in 7 (21.1%) in a year after surgery. No patient developed recurrence in the median follow-up period, which was about 15 months. Laparoscopic rectopexy and resection rectopexy in the young aged patients working the Army are carried out with less morbidity rate. We eliminated the total prolapse and cure incontinence in almost all patients. In addition to constipation was reduced by laparoscopic surgical approaches in a short time hospitalization with short time painkiller need.
Department of General Surgery, GATA Haydarpasa Teaching Hospital, Istanbul, Turkey. sdemirbas@hpasa.gata.edu
Sezai
S
Demirbas
Ibrahim
I
Ogün
Tuncay
T
Celenk
M Levhi
ML
Akin
Cengiz
C
Erenoglu
Mehmet
M
Yldz
D000328:Adult; D003248:Constipation / Q000209:etiology / Q000601:surgery; D003672:Defecation; D016145:Endoscopy, Digestive System / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008365:Manometry; D008875:Middle Aged; D008889:Military Personnel; D010147:Pain Measurement; D010149:Postoperative Pain; D012005:Rectal Prolapse / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D013526:Surgical Mesh; D007507:Therapeutic Irrigation; D016896:Treatment Outcome; D014421:Turkey