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Journal Abstract
 
Abdominal and perineal approaches in the surgical treatment of rectal prolapse
Murat Kapan 1, Akın Önder 1, Serkan Polat 1, İbrahim Aliosmanoglu 1, Fatih Taskesen 1, Zülfü Arikanoglu 1, Mesut Gül 1, İbrahim Taçyıldız 1
1 - Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Diyarbakır, Türkiye
Dicle Med J 2012; 39(1):83-88
ICID: 987027
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
 
Introduction: Rectal prolapse is a disease, which is an
important cause of social and functional problems and
has a continuing debate about the ideal surgical treatment
of itself. In this study, we aimed to investigate the
abdominal and perineal approaches with early and late
postoperative result in the patients undergoing surgery for
rectal prolapse.
Materials and methods: Between 2006-2011, the records
of 21 patients undergoing surgery with the diagnosis
of rectal prolapse were reviewed, retrospectively. The
demographic and physical examination findings, surgical
procedures, early and late postoperative complications,
recurrence and mortality rates were recorded.
Results: The median age was 43 years and female/male
ratio was 1.63/1. The most common presenting complaint
was gas control failure and often wetting with mucus.
Stage 1 and stage 3 rectal prolapses was detected in 19%
and 81% of the patients, respectively. The most common
surgical procedure was Notaras (54%). Early postoperative
complications were seen in 14.3% of the patients.
There were no postoperative recurrence, mortality and
complication requiring re-exploration. Advanced age and
shorter duration of hospital stay were determined and often
performed under regional anesthesia in the patients
undergoing perineal approach. No statistical differences
were observed in terms of early postoperative complications
and recurrence.
Conclusion: Results of abdominal and perineal approaches
were similar, when they were applied with taking
into account the risk factors for surgical treatment,
findings of the patients and the surgeon’s experience

ICID 987027
 
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  • in IndexCopernicus™
         Perineal [1 related records]
         abdominal [2 related records]
         Surgery [393 related records]
         Rectal Prolapse [17 related records]


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