title: Quality of life after laparoscopic resection rectopexy.
abstract: OBJECTIVE
  This study evaluated continence, constipation, and quality of life (QoL) after laparoscopic resection rectopexy (LRR) for full-thickness rectal prolapse. Results were compared with existing data after perineal rectosigmoidectomy (PRS).
  
  
  METHODS
  From May 2003 to February 2008, consecutive patients suffering from full-thickness rectal prolapse undergoing LRR were retrospectively studied. A standardized questionnaire including the Cleveland Clinic Constipation and Incontinence Scores (CCCS and CCIS) as well as general and constipation-related QoL scores (EQ-5D and PAC-QOL) was administered. Results were compared with those after PRS. For statistic analysis, the Wilcoxon test (EQ-5D and EQ-VAS) and two-sample Student's t test (CCCS, CCIS, and PAC-QOL) were used for LRR, for the comparison of both procedures Mann-Whitney test (EQ-5D) and two-sample Student's t test (EQ-VAS, CCCS, CCIS, and PAC-QOL).
  
  
  RESULTS
  Eighteen patients, 15 female, aged 58.1 (±20.2) years underwent LRR. Eleven patients completed follow-up. Postoperatively, neither functional outcome nor QoL improved. Two recurrences occurred, morbidity was n = 2, and mortality n = 1. In comparison, patients after PRS benefit from improved constipation, general QoL measures, status of health, and all dimensions of constipation-related QoL.
  
  
  CONCLUSIONS
  Patients after LRR do not benefit from improved general nor constipation-related QoL nor improved functional results compared to PRS.
authors: Department of General, Gastrointestinal, Vascular and Pediatric Surgery, University Hospital Wuerzburg, Oberduerrbacher Str. 6, 97080, Würzburg, Germany. kim_m@chirurgie.uni-wuerzburg.de
authors: Mia
authors: M
authors: Kim
authors: Joachim
authors: J
authors: Reibetanz
authors: Lars
authors: L
authors: Boenicke
authors: Christoph-Thomas
authors: CT
authors: Germer
authors: David
authors: D
authors: Jayne
authors: Christoph
authors: C
authors: Isbert
mesh_terms: D003248:Constipation / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010502:Perineum / Q000601:surgery; D011788:Quality of Life; D012007:Rectum / Q000601:surgery*; D012008:Recurrence; D016896:Treatment Outcome