Abstract
IntroductionAlthough long‐term crude outcomes of laparoscopic ventral rectopexy for external rectal prolapse (ERP) have been documented, repetitive functional and quality of life (QOL) assessments are scarce. This study assessed midterm annual functional results and QOL after laparoscopic ventral rectopexy for ERP.MethodsThis study consisted of 58 patients and was a retrospective analysis of prospectively collected data. The Fecal Incontinence Severity Index, the Constipation Scoring System, and QOL instruments (ie 36‐item Short‐Form Health Survey and Fecal Incontinence Quality of Life scale) were administered before and after operation.ResultsThere was no mortality or major morbidity. After a median follow‐up of 49 months (6‐92 months), recurrence of ERP was noted in one patient (2%). There were no mesh‐related complications. The median Fecal Incontinence Severity Index score was significantly reduced at 3 months (34 [10‐61] vs 12 [0‐50], P < 0.0001) and remained significantly reduced for 5 years. The median Constipation Scoring System score was significantly reduced at 3 months (14 [9‐20] vs 7 [0‐16], P < 0.0001) and remained significantly reduced for 4 years. No patients developed new‐onset constipation. All of the Fecal Incontinence Quality of Life scales significantly improved overtime for 4 years. All of the 36‐item Short‐Form Health Survey scales were significantly improved at 3 and 6 months, but none of the scales significantly improved after 2 years.ConclusionLaparoscopic ventral rectopexy for ERP was associated with low morbidity, low recurrence, and a midterm improvement in function and fecal incontinence‐specific QOL.
Highlights
Long-term crude outcomes of laparoscopic ventral rectopexy for external rectal prolapse (ERP) have been documented, repetitive functional and quality of life (QOL) assessments are scarce
The ideal surgical treatment for external rectal prolapse (ERP) should correct the related anatomical abnormalities and derived symptoms, which range from fecal incontinence (FI) to obstructed defecation (OD)
Anorectal function and QOL could not be assessed in 11 patients who had senile dementia or schizophrenia
Summary
Long-term crude outcomes of laparoscopic ventral rectopexy for external rectal prolapse (ERP) have been documented, repetitive functional and quality of life (QOL) assessments are scarce. There is increasing evidence that LVR controls the prolapse and improves the associated symptoms.[2,3,4] This anterior approach limits rectal mobilization without lateral dissection, reducing the incidence of postoperative constipation, as compared to posterior rectopexy.[2,3,4,5] long-term crude outcomes of LVR for ERP have been documented, limited information on repetitive functional results is available.[6,7,8] only one study has evaluated the long-term impact of LVR on health-related quality of life (QOL); it employed instruments on global gastrointestinal symptoms, but major symptoms of FI resulting from ERP were not assessed.[8] This study aimed to assess midterm annual functional results and QOL after LVR by using both generic and FI-specific instruments in a consecutive series of patients with ERP
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
