Comparison of laparoscopic subtotal colectomy with posterior vaginal suspension and laparoscopic subtotal colectomy with transvaginal repair for patients with slow-transit constipation complicated with rectocele: a non-randomized comparative study in a single center.
Slow-transit constipation complicated with rectocele is a mixed constipation difficult to treat by surgery. Different hospitals and surgeons may employ different surgical procedures. The present study aims to compare the efficacy of laparoscopic subtotal colectomy (LSC) with posterior vaginal suspension and LSC with transvaginal repair for patients having refractory slow-transit constipation complicated with rectocele.



This paper is a retrospective study of 64 patients having refractory slow-transit constipation complicated with rectocele. Admitted from January 2002 to December 2012, the 64 patients were non-randomly divided into two groups: patients who underwent LSC with posterior vaginal suspension (Group A, 36 patients) and patients who underwent LSC with transvaginal repair (Group B, 28 patients).



There was no statistically significant difference (P > 0.05) in preoperative general characteristics and Wexner constipation score between Group A and Group B. There was no statistically significant difference (P > 0.05) in operative time and intraoperative blood loss between the two groups. One month after the surgery, there was no statistically significant difference (P > 0.05) in early postoperative complications, constipation recurrence rate, degree of improvement in constipation symptoms, and Wexner constipation score between the two groups. But 1-year follow-up results show that there was statistically significant difference (P < 0.05) in constipation recurrence rate, gastrointestinal quality of life index, the degree of improvement in constipation symptoms, and Wexner constipation score between the two groups.



Compared with the LSC with transvaginal repair, the LSC with posterior vaginal suspension demonstrated better efficacy in treating refractory slow-transit constipation complicated with rectocele.
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Si
S
Yu
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Jian-Zhong
JZ
Deng
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China. liuxiaoyan2014@sina.com.
Xiang
X
Peng
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Yong-Hui
YH
Zhou
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Long-Qing
LQ
Cheng
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Yi-Ban
YB
Lin
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Jia-Cheng
JC
Zhu
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, Foshan, 528000, China.
Te-Dong
TD
Luo
D000368:Aged; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000379:methods*; D003248:Constipation / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology*; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D020047:Rectocele / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*
Laparoscopic subtotal colectomy; Posterior vaginal suspension; Rectocele; Slow-transit constipation; Transvaginal repair