title: Quality of life after laparoscopic ventral rectopexy.
abstract: OBJECTIVE
  This study evaluated continence, constipation and quality of life (QOL) before and after laparoscopic ventral rectopexy (LVR) METHOD: Between February 2012 and July 2014, patients who underwent LVR for external rectal prolapse (ERP) and/or rectoanal intussusception (RAI) were prospectively included. A standard questionnaire including the Fecal Incontinence Severity Index (FISI), the Constipation Scoring System (CSS) and QOL instruments (Short-Form 36 Health Survey, Fecal Incontinence QOL scale, Patient Assessment of Constipation-QOL) were administered before and after operation. Psychiatric patients and those with dementia were excluded from the study. Defaecography was performed 6 months postoperatively.
  
  
  RESULTS
  Fifty-nine patients were included in the study period and 44 (19 with ERP, 25 with RAI) completed the follow-up questionnaire and were reviewed after a median of 26 (range 12-42) months. There was no recurrent ERP. Postoperative defaecography showed new-onset RAI in 6 and persistent RAI in 1. One year after surgery, incontinence was improved in 30/39 patients (77%) and constipation in 19/32 (59%). The FISI scores reduced between preoperative status and 1 year after surgery [32 (13-61) vs 11 (0-33), P < 0.0001]. The CSS scores also reduced [preoperative 12 (5-18) vs 1 year 5 (1-12), P < 0.0001]. Compared with the preoperative scores, almost all of the scale scores on the three kinds of QOL instruments significantly improved over time. The presence of new-onset or persistent RAI did not have an adverse effect on the improvement of QOL.
  
  
  CONCLUSIONS
  LVR improves both generic and symptom-specific QOL with good functional results.
authors.affiliation: Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa City, Chiba, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Tsunoda
authors.affiliation: Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa City, Chiba, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Takahashi
authors.affiliation: Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa City, Chiba, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ohta
authors.affiliation: Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa City, Chiba, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kusanagi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003248:Constipation / Q000209:etiology / Q000601:surgery*; D004268:DNA-Binding Proteins; D019841:Defecography; D013505:Digestive System Surgical Procedures / Q000379:methods; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery*; D005260:Female; D005656:Fungal Proteins; D006801:Humans; D007443:Intussusception / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012002:Rectal Diseases / Q000150:complications / Q000601:surgery; D012005:Rectal Prolapse / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D004268:DNA-Binding Proteins; D005656:Fungal Proteins; C073833:QutH protein, Emericella nidulans
keywords: External rectal prolapse; functional results; laparoscopic ventral rectopexy; quality of life; rectoanal intussusception