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Three-Year Experience With Rectal Prolapse Patients

机译:直肠脱垂患者的三年经验

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Background: Rectal prolapse (RP) is a rare condition characterized by rectum’s protrusion through the anus with all of its layers. RP is a condition deteriorating the quality of life. Although more than 100 surgical procedures were described so far for the treatment of RP, the ideal treatment method still remains unclear. In this study, demographical data and clinical results of 13 patients who were treated at our clinic for RP for a period of 3 years were retrospectively studied, with the aim of comparing with the results of other repair methods mentioned in the literature. Methods: Total of 13 patients admitted to the general surgery unit and the emergency units between January 2008 and December 2010 were included in the study. All of the cases were treated by modified Notoras technique using various synthetic materials. Results: Of the patients, 8 were male, and 5 were female. Average age was 45.6 years (range: 23 - 79 years), and the average hospitalization time was 11.3 days (range: 3 - 19 days), with the symptom time being an average of 12 years (range: 1 - 30 years). All patients having complaints described mass prolapsing from the anal canal during defecation, rectal pain, and constipation. Six of our patients also had complaints of rectal bleeding. Average follow-up time was 24 months. No recurrence and mortality were monitored in patients who were followed.Conclusions: The main purposes in the surgical treatment of RP were to control the prolapse, and to achieve continence and remedy constipation. We believe that the modified Notoras technique made using synthetic materials the most suitable one compared to other rectopexy methods in the treatment of RP because it is safe and easily applicable.doi:10.4021/jocmr339w
机译:背景:直肠脱垂(RP)是一种罕见的疾病,其特征是直肠穿过肛门的所有各层。 RP是恶化生活质量的条件。尽管到目前为止已描述了用于治疗RP的100多种手术方法,但理想的治疗方法仍不清楚。在这项研究中,回顾性研究了13例在我院接受RP治疗的3年患者的人口统计数据和临床结果,旨在与文献中提及的其他修复方法的结果进行比较。方法:纳入2008年1月至2010年12月期间共13例入院普外科和急诊科的患者。所有病例均使用多种合成材料通过改良的Notoras技术治疗。结果:患者中男8例,女5例。平均年龄为45.6岁(范围:23-79岁),平均住院时间为11.3天(范围:3-19天),症状时间平均为12年(范围:1-30岁)。所有有主诉的患者都描述了排便,直肠疼痛和便秘时肛门管出现大量肿块。我们的六名患者也有直肠出血的主诉。平均随访时间为24个月。结论:RP的外科治疗的主要目的是控制脱垂,实现节制和治疗便秘。我们认为,改良的Notoras技术是使用合成材料制成的,相比于其他的新陈代谢方法,它是治疗RP的最合适的方法,因为它安全且容易应用。doi:10.4021 / jocmr339w

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