지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.12
- 수록면
- 415 - 422 (8page)
- DOI
- 10.3393/ac.2021.00262.0037
이용수
초록· 키워드
오류제보하기
Purpose: The surgical management of patients with full-thickness rectal prolapse (FTRP) continues to remain a challenge in the laparoscopic era. This study retrospectively assesses a cohort of patients undergoing a transanal suture sacro rectopexy supported by sclerosant injection into the presacral space under ultrasound guidance.
Methods: Patients with FTRP underwent a sutured transrectal presacral fixation of 2/3 of the circumference of the rectum from the third sacral vertebra to the sacrococcygeal junction through a side-viewing operating proctoscope. The procedure was supplemented by ultrasound-guided injection into the retrorectal space of a 2 mL solution of sodium tetradecyl sulfate/polidocanol mixed with air. Patients were functionally assessed before and 6 months after surgery with the Agachan constipation score and the Pescatori incontinence score.
Results: There were 36 adult patients (26 males; the range of age, 23–92 years). The mean operative time was 27 minutes (range, 23–50 minutes) with no recorded perioperative morbidity. The median follow-up was 66 months (range, 48–84 months) with 1 (2.8%) recurrence presenting 18 months after surgery. There were 19 patients (52.8%) who presented with incontinence before surgery with 17 out of 19 (89.5%) reporting improvement in their Pescatori score (P<0.001). No patient had worsening incontinence and there were no <i>de novo</i> incontinence cases. Constipation scores improved in 23 out of 36 patients (63.9%) with a mean score reduction difference of 7.91 (P=0.001).
Conclusion: Transanal sutured sacral rectopexy with supplemental presacral sclerosant injection is safe and effective in the management of FTRP with sustained improvement in bowel function.
목차
등록된 정보가 없습니다.
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Laparoscopic Postero-lateral Rectopexy for Full Thickness Rectal Prolapse : Experience 63 Patients and Short-term Outcomes
대한외과학회 학술대회 초록집
2017 .11
-
Rectal Cancer Surgery: From Open to Transanal
대한임상종양학회 학술대회지
2018 .02
-
A Comparative Study between Transanal and Transabdominal Approaches in Treatment of Complete Rectal Prolapse
대한외과학회 학술대회 초록집
2022 .11
-
Outcomes of Transanal Local Excision Methods in Patients with Rectal Neoplasm
대한외과학회 학술대회 초록집
2017 .11
-
Pure NOTES for Rectal Cancer by Transanal Laparoscopic Approach
대한임상종양학회 학술대회지
2017 .02
-
A Comparative Study on Surgical Option of Male Rectal Prolapse
대한외과학회 학술대회 초록집
2021 .05
-
Laparoscopic Posterolateral Rectopexy for the Treatment of Patients With a Full Thickness Rectal Prolapse: Experience With 63 Patients and Short-term Outcomes
Annals of Coloproctology
2018 .01
-
Transanal gauze packing to manage massive presacral bleeding secondary to prescral abscess caused by rectal anastomotic leakage : a novel approach
Annals of Surgical Treatment and Research
2015 .03
-
The role of rectal redundancy in the pathophysiology of rectal prolapse: a pilot study
Annals of Surgical Treatment and Research
2022 .05
-
Transanal TME
대한임상종양학회 학술대회지
2019 .02
-
Recent update of transanal minimally invasive surgery (TEO, TAMIS, and Transanal TME)
대한외과학회 학술대회 초록집
2016 .11
-
Laparoscopic Approach for Rectal Prolapse
대한외과학회 학술대회 초록집
2019 .10
-
Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report
Neurospine
2017 .01
-
Transanal Versus Robotic Total Mesorectal Excision for Low Rectal Cancer after Neoadjuvant Treatment
대한외과학회 학술대회 초록집
2019 .05
-
Transanal tube placement for prevention of anastomotic leakage following low anterior resection for rectal cancer : a systematic review and meta-analysis
Annals of Surgical Treatment and Research
2015 .11
-
Transanal Total Mesorectal Excision
대한외과학회 학술대회 초록집
2018 .11
-
Feasibility of transanal endoscopic total mesorectal excision for rectal cancer : results of a pilot study
Annals of Surgical Treatment and Research
2016 .10
-
Transanal Minimally Invasive Surgery (TAMIS) for Rectal Tumor under Spinal Anesthesia: Long-term Follow-up Results
대한외과학회 학술대회 초록집
2022 .05
-
Minimally Invasive Ventral Rectopexy: Tips and Tricks for a Secure Repair
대한외과학회 학술대회 초록집
2022 .11
-
Synthetic Versus Biological Mesh-Related Erosion After Laparoscopic Ventral Mesh Rectopexy: A Systematic Review
Annals of Coloproctology
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0