Document Detail


Clinical and functional evaluation of patients with rectocele and mucosal prolapse treated with transanal repair of rectocele and rectal mucosectomy with a single circular stapler (TRREMS).
MedLine Citation:
PMID:  20957403     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of the present study was to make a preoperative and postoperative clinical and functional evaluation of patients who underwent transanal repair of rectocele and rectal mucosectomy with a single circular stapler (TRREMS procedure) as treatment for obstructed defecation syndrome (ODS) caused by rectocele and rectal mucosal prolapse (RMP).
METHODS: This prospective study included 35 female patients, 34 multiparous and one nulliparous, with an average age of 47.5 years (range 31-67 years), rectocele grade II (n = 13/37.1%) or grade III (n = 22/62.9%), associated with RMP. The study parameters included ODS, constipation, functional continence scores and pre- and postoperative cinedefecographic findings.
RESULTS: The average preoperative ODS score, the constipation score and the functional continence score were significantly reduced after surgery from 10.63 to 2.91 (p = 0.001), 15.23 to 4.46 (p = 0.001) and 2.77 to 1.71 (p = 0.001), respectively. Between the first and the eighth postoperative day, the average visual analog scale pain score fell from 5.23 to 1.20 (p = 0.001). Satisfaction with treatment outcome was 79.97, 86.54, 87.65 and 88.06 at 1, 3, 6 and 12 months, respectively. Cinedefecography revealed average reductions in rectocele size from 19.23 ± 8.84 mm (3-42) to 6.68 ± 3.65 mm (range 0-7) at rest and from 34.89 ± 12.30 mm (range 20-70) to 10.94 ± 5.97 mm (range 0-25) during evacuation (both P = 0.001).
CONCLUSION: The TRREMS procedure is a safe and efficient technique associated with satisfactory anatomic and functional results and with a low incidence of postoperative pain and complications.
Authors:
V M Leal; F S P Regadas; S M M Regadas; L R Veras
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Publication Detail:
Type:  Journal Article     Date:  2010-10-19
Journal Detail:
Title:  Techniques in coloproctology     Volume:  14     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-03-28     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  329-35     Citation Subset:  IM    
Affiliation:
Hospital Getúlio Vargas, Federal University of Piauí, Teresina, Brazil. vilmarmoura@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Constipation / physiopathology
Defecation / physiology
Defecography
Digestive System Surgical Procedures / adverse effects,  instrumentation,  methods*
Female
Humans
Middle Aged
Mucous Membrane / surgery*
Pain, Postoperative
Patient Satisfaction
Prospective Studies
Rectal Prolapse / complications,  physiopathology,  surgery*
Rectocele / complications,  physiopathology,  surgery*
Statistics, Nonparametric
Surgical Staplers
Treatment Outcome
Comments/Corrections
Comment In:
Tech Coloproctol. 2013 Apr;17(2):249   [PMID:  22956208 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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