Rectal prolapse and anal incontinence treated with a modified Roscoe Graham operation |
| |
Authors: | Kaj-Erik Klaaborg MD Niels Qvist MD Dr Ole Kronborg MD PhD |
| |
Institution: | (1) Department of Surgical Gastroenterology K, Odense University Hospital, DK-5000 Odense C, Denmark |
| |
Abstract: | The results of abdominal mobilization of the rectum and repair of the pelvic floor behind the anorectal junction are reported
in 23 patients with rectal prolapse, being accompanied by some form of anal incontinence in 12. Within 20 months, on the average,
three patients had recurrent prolapse. Two thirds of the patients with incontinence for solid and/or fluid feces were cured
for prolapse as well as incontinence. Seven became constipated, while 14 were fully satisfied. Seven of eight patients with
a highly reduced tone of the external sphincter before surgery had a marked improvement after surgery. The results do not
differ greatly from those after the suspension operation or repair of the pelvic floor in front of the rectum, despite being
more physiologic, but suggest that simultaneous suspension and abdominal repair of the pelvic floor may avoid the need for
a secondary postanal repair from below in patients with persistent incontinence after suspension surgery. A controlled, randomized
trial is advocated. |
| |
Keywords: | Rectal prolapse Anal incontinence Rectopexy |
本文献已被 SpringerLink 等数据库收录! |
|