Ten‐year follow up after laparoscopic suture rectopexy for full‐thickness rectal prolapse

Foppa, Caterina; Martínek, L; Arnaud, Jean‐Pierre; Bergamaschi, Roberto

doi:10.1111/codi.12689

Cited by 36 publications

(23 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recurrence rates following rectopexy must be related to the duration of follow up, low recurrence rates often being attained in short-term studies [14]. Numerous publications report increasing rates of recurrence with time, but studies exceeding a fifteen-year time span are rare [15].…”

Section: Discussionmentioning

confidence: 99%

“…For the purpose of comparing recurrence rates, there are few prospective, randomised studies of adequate size with long-term follow-up. Following PSR in 179 patients Foppa et al [15] reported a crude recurrence rate of 6% at 5-year follow-up, with an actuarial 10-year recurrence rate of 20%. D'Hoore et al [22] had a recurrence rate of 4,8% after VMR in a study of 42 patients with a median follow-up of 61 months.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study

Gleditsch

Wexels

Nesbakken

2018

Langenbecks Arch Surg

View full text Add to dashboard Cite

Purpose: Many different operations have been proposed for treating rectal prolapse, with varying recurrence rates and functional outcome. The main purpose of this study was to assess long term results of surgery for prolapse of the rectum. Methods:We carried out a retrospective study to evaluate changing trends in surgical strategies and outcome in patients treated in our hospital over 19 years.Results: Ninety-three patients were operated and 30 (32%) experienced recurrence of external prolapse during a median (range) follow-up time of 82 (2-231) months. There were 37 reoperations for recurrence, bringing the total number of operations to 130.From 1998 to 2010 laparoscopic posterior suture rectopexy was the preferred abdominal procedure with Delorme's operation as the perineal alternative. Observed recurrence rates were 15/49 (31%) and 8/15 (53%) during a median observation time of 84 and 9 months respectively.From 2011 to 2017 these procedures were replaced by ventral mesh rectopexy and Altemeier's rectosigmoidectomy. The observed recurrence rate for ventral mesh rectopexy was 3/22 (14%) during a median observation time of 29 months. The 30-day mortality rate was 3% and complication rate 14%. Conclusions:The recurrence rates were high after all procedures, with no significant difference between posterior suture rectopexy and ventral mesh rectopexy, but the observation time for the latter procedure was too short to conclude. Both procedures had low complication rates, and ventral mesh rectopexy had no mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study

Gleditsch

Wexels

Nesbakken

2018

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…Kim et al reported a postoperative mortality rate of 1.6% after Altemeier's procedure [6]. After laparoscopic procedures for RP, serious postoperative complications such as injury to the ureter, pneumonia and pelvic abscess have been reported [7,8]. As shown in Table 7, the postoperative mortality rate after surgery of RP is reported to be 0%-7%.…”

Section: Discussionmentioning

confidence: 99%

“…3. Unknown 1 (7) transabdominal approach with better cosmesis in view of the small wounds employed. The usual transperineal techniques include Delorme's procedure and perineal rectosigmoidectomy (Altemeier's procedure).…”

Section: Discussionmentioning

confidence: 99%

Modified Gant–Miwa–Thiersch procedure (mucosal plication with anal encircling) for rectal prolapse

Iida¹,

Honda²,

Saitou³

et al. 2019

Colorectal Disease

View full text Add to dashboard Cite

Aim Rectal prolapse (RP) is usually associated with elderly women and is well recognized as having a detrimental effect on quality of life. A number of surgical procedures for RP are available, but morbidity and mortality are substantial. The Gant-Miwa-Thiersch procedure (GMT) has been frequently used for RP in Japan. However, as GMT has a high recurrence rate it is not widely used elsewhere. The aim of this study was to evaluate a modified version of GMT (mGMT) in comparison with other procedures.Method mGMT was performed under spinal or local anaesthesia in 187 patients with RP. No normal mucosa was left between the tags and lateral wounds were created in the Thiersch procedure. Morbidity, mortality and recurrence rates were recorded. ResultsNo serious postoperative complications and no operative deaths occurred after mGMT. Eight per cent of patients suffered from infection of the strings. The overall recurrence rate after mGMT was 7.5% with a median follow-up period of 13.8 years.Conclusion On the basis of these results, we consider that mGMT has a number of advantages: it is minimally invasive, does not require general anaesthesia, is technically simple to perform and is associated with satisfactory outcomes and low morbidity. mGMT should be considered an option for the treatment of RP in elderly patients.What does this paper add to the literature? Although many procedures for rectal prolapse are available, serious postoperative complications and operative deaths are reportedly associated with them. A modified Gant-Miwa-Thiersch procedure should be considered for the treatment of rectal prolapse in elderly patients.

show abstract

“…Kontinenz und Lebensqualität zeigten sich im Vergleich zum präoperativen Ausgangsniveau signifikant gebessert. Die Obstipation blieb über 10 Jahre unverändert, allerdings waren Patienten mit präexistenter Obstipation primär ausgeschlossen worden [11].…”

Section: Nahtrektopexie (Nach Sudeck [5])unclassified

Chirurgische Therapie des Rektumprolapses

Hardt

Kienle

2018

coloproctology

View full text Add to dashboard Cite

Ten‐year follow up after laparoscopic suture rectopexy for full‐thickness rectal prolapse

Abstract: Laparoscopic suture rectopexy led to few complications, a recurrence rate of 20%, improved continence and quality of life with no worsening of constipation at 10 years.

Cited by 36 publications

References 23 publications

Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study

Surgical options and trends in treating rectal prolapse: long-term results in a 19-year follow-up study

Modified Gant–Miwa–Thiersch procedure (mucosal plication with anal encircling) for rectal prolapse

Chirurgische Therapie des Rektumprolapses

Contact Info

Product

Resources

About