Wei W, Li BQ, Li RX, Peng X. Comparison of transabdominal and transperineal procedures for complete rectal prolapse: Analysis of 104 cases.
Shijie Huaren Xiaohua Zazhi 2015;
23:3643-3647. [DOI:
10.11569/wcjd.v23.i22.3643]
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Abstract
AIM: To evaluate and compare the clinical outcomes of transabdominal and transperineal surgical procedures for patients with complete rectal prolapse.
METHODS: A retrospective study was performed of patients with complete rectal prolapse who received surgical treatment at the Central Hospital of Xinxiang between March 1995 and May 2014. Patients were classified according to the type of operation: transabdominal procedure (n = 64) and transperineal procedure (n = 40). Clinical effects were compared for the two groups.
RESULTS: There were more young patients and males in the transabdominal group than in the transperineal group. Compared with the transperineal group, the transabdominal group had longer operating time (165 min ± 67 min vs 70 min ± 38 min, P < 0.001), longer hospital stay (10 d ± 4 d vs 7 d ± 2 d, P < 0.001), but a lower overall recurrence rate (6.3% vs 15.0%, P < 0.05). The overall rate of complications was similar between the two groups (10.9% vs 6.8%, P > 0.05). The patients in the transabdominal group complained more frequently of constipation than of incontinence, conversely, in the transperineal group of incontinence than of constipation.
CONCLUSION: The two approaches for treating complete rectal prolapse did not differ with regard to postoperative morbidity, but recurrence occurs frequently among patients in the transperineal group. Surgeons should carefully assess the condition of patients before operation and select the appropriate surgical approach for treating complete rectal prolapse.
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