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首页> 外文期刊>Surgical Endoscopy >Laparoscopic ventral rectopexy for obstructed defecation syndrome.
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Laparoscopic ventral rectopexy for obstructed defecation syndrome.

机译：腹腔镜腹腔直肠置换术治疗阻塞性排便综合征。

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INTRODUCTION: Obstructed defecation remains a serious syndrome. Several procedures have been applied to treat it. A concomitant enterocele excludes some of these procedures, because of potential threat of damaging the bowel. The aim of this study was to assess the outcome of patients who underwent laparoscopic nerve sparing ventral rectopexy for obstructed defecation syndrome with concomitant enterocele. METHODS: Seventeen patients were included. Data about clinical history, physical examination and a defecogram were collected. All patients underwent a laparoscopic ventral rectopexy. Complications, hospital stay, postoperative morbidity and long-term outcome were documented. RESULTS: All patients underwent laparoscopic ventral rectopexy. The median operating time was 199 min (range 186-239 min). One conversion laparotomy was required. Six patients had postoperative complications (ileus n = 2, posttraumatic leg dystrophy n = 1, wound infection n = 1, incisional hernia n = 2). The median hospital stay was 6 days (range 3-24 days). Fifteen patients had improvement of their defecation problem, although six patients still had minor constipation symptoms. In one patient the mesh was rejected and finally removed. CONCLUSION: Obstructed defecation syndrome is a combined functional and mechanical problem. In selected patients, especially when an enterocele is present, laparoscopic ventral rectopexy is a feasible technique, with an acceptable number of complications.
机译：简介：排便受阻仍然是一种严重的综合征。已经应用了几种程序来对其进行处理。伴随的肠小肠囊肿排除了其中一些手术，因为可能会损害肠管。这项研究的目的是评估接受腹腔镜神经保留腹腔置换术治疗伴有肠小肠梗阻的排便障碍患者的结局。方法：纳入17例患者。收集有关临床病史，体格检查和粪便记录的数据。所有患者均进行了腹腔镜腹腔直肠切除术。记录并发症，住院时间，术后发病率和长期预后。结果：所有患者均进行了腹腔镜腹侧直肠置换术。中位操作时间为199分钟（范围为186-239分钟）。需要进行一次开腹手术。六例患者术后并发症（肠梗阻n = 2，创伤后腿营养不良n = 1，伤口感染n = 1，切开疝n = 2）。中位住院天数为6天（范围3-24天）。 15例患者的排便问题得到改善，尽管6例患者仍有轻微的便秘症状。在一名患者中，筛网被拒绝并最终被移除。结论：阻塞性排便综合征是功能和机械的综合问题。在选定的患者中，尤其是当存在肠小肠膨出时，腹腔镜腹侧直肠置换术是一种可行的技术，其并发症的数量可以接受。

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