Scoring Systems

Solh, Wael; Wexner, Steven D.

doi:10.1007/1-84628-010-9_60

Cited by 1 publication

(1 citation statement)

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“…We calculated the preoperative Wexner score ( Figure 1) for all patients (0 points ¼ perfect continence; 20 points ¼ total incontinence). 6 Manometric evaluation of sphincter function was not performed. We consider the Wexner score system to be the easiest to use, and it has the best correlation between the patient's subjective perception of continence and the clinical assessment made by the surgeon.…”

Section: Preoperative Sphincter Functionmentioning

confidence: 99%

Survival and functional and oncological outcomes following intersphincteric resection for low rectal cancer: short-term results

et al. 2018

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ObjectiveThis study was performed to evaluate the 1-year survival rate and functional outcomes of 20 patients who underwent intersphincteric resection (ISR) for low rectal cancer.MethodsTwenty patients who underwent ISR for low rectal cancer were followed up for 1 year. Complications, functional outcomes objectified by the Wexner score, and oncological outcomes were assessed.ResultsThe short-term survival rate was 100%. The median Wexner score was ≤10 in all patients at 12 months after surgery. Signs of local recurrence were absent, and antigen levels remained within the reference ranges 1 year postoperatively.ConclusionsISR is a feasible alternative in highly selected patients who primarily refuse a colostomy bag and present with type II or III tumors. In the present study, patient-reported continence was satisfactory, and the absence of a colostomy bag increased patients’ quality of life. The oncological outcomes were satisfactory at 1 year postoperatively.

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Section: Preoperative Sphincter Functionmentioning

confidence: 99%