دورية أكاديمية
Comparative study of laparoscopic ventral mesh rectopexy versus perineal stapler resection for external full‐thickness rectal prolapse in elderly patients: enhanced outcomes and reduced recurrence rates—a retrospective cohort study
| العنوان: | Comparative study of laparoscopic ventral mesh rectopexy versus perineal stapler resection for external full‐thickness rectal prolapse in elderly patients: enhanced outcomes and reduced recurrence rates—a retrospective cohort study |
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| المؤلفون: | T. A. A. M. Habeeb, Mauro Podda, Massimo Chiaretti, · A. Kechagias, · J. B. Lledó, · Abd‐Elfattah Kalmoush, Fawzy M. Mustafa, Mohammed Shaaban Nassar, Mohamed Fathy Labib, Sobhy Rezk Ahmed Teama, Mohammed Hassan Elshafey, Hamdi Elbelkasi, Mohamed Ibrahim Abo Alsaad, Ahmed M. Sallam, Hassan Ashour, Mohamed Ibrahim Mansour, Abdelshafy Mostafa, Tamer Mohamed Elshahidy, Ahmed M. Yehia, Tamer Rushdy, Alaaedin Ramadan, Abd Elwahab M. Hamed, Mahmoud Abdou Yassin, Abd‐Elrahman M. Metwalli |
| المساهمون: | Habeeb, T. A. A. M., Podda, Mauro, Chiaretti, Massimo, Kechagias, · A., Lledó, · J. B., Abd‐Elfattah Kalmoush, ·, Mustafa, Fawzy M., Shaaban Nassar, Mohammed, Fathy Labib, Mohamed, Rezk Ahmed Teama, Sobhy, Hassan Elshafey, Mohammed, Elbelkasi, Hamdi, Ibrahim Abo Alsaad, Mohamed, Sallam, Ahmed M., Ashour, Hassan, Ibrahim Mansour, Mohamed, Mostafa, Abdelshafy, Mohamed Elshahidy, Tamer, Yehia, Ahmed M., Rushdy, Tamer, Ramadan, Alaaedin, Hamed, Abd Elwahab M., Abdou Yassin, Mahmoud, Metwalli, Abd‐Elrahman M. |
| سنة النشر: | 2024 |
| المجموعة: | Sapienza Università di Roma: CINECA IRIS |
| مصطلحات موضوعية: | Functional outcomes · Laparoscopic ventral mesh rectopexy · Perineal stapler resection · Recurrence · Rectal prolapse |
| الوصف: | Background In elderly patients with external full-thickness rectal prolapse (EFTRP), the exact differences in postoperative recurrence and functional outcomes between laparoscopic ventral mesh rectopexy (LVMR) and perineal stapler resection (PSR) have not yet been investigated. Methods We conducted a retrospective multicenter study on 330 elderly patients divided into LVMR group (n = 250) and PSR (n = 80) from April 2012 to April 2019. Patients were evaluated before and after surgery by Wexner incontinence scale, Altomare constipation scale, and patient satisfaction questionnaire. The primary outcomes were incidence and risk factors for EFTRP recurrence. Secondary outcomes were postoperative incontinence, constipation, and patient satisfaction. Results LVMR was associated with fewer postoperative complications (p < 0.001), lower prolapse recurrence (p < 0.001), lower Wexner incontinence score (p = 0.03), and lower Altomare’s score (p = 0.047). Furthermore, LVMR demonstrated a significantly higher surgery–recurrence interval (p < 0.001), incontinence improvement (p = 0.019), and patient satisfaction (p < 0.001) than PSR. Three and 13 patients developed new symptoms in LVMR and PSR, respectively. The predictors for prolapse recurrence were LVMR (associated with 93% risk reduction of recurrence, OR 0.067, 95% CI 0.03–0.347, p = 0.001), symptom duration (prolonged duration was associated with an increased risk of recurrence, OR 1.131, 95% CI 1.036–1.236, p = 0.006), and length of prolapse (increased length was associated with a high recurrence risk (OR = 1.407, 95% CI = 1.197–1.655, p < 0.001). Conclusions LVMR is safe for EFTRP treatment in elderly patients with low recurrence, and improved postoperative functional outcomes. Trial registration Clinical Trial.gov (NCT05915936), retrospectively registered on June 14, 2023. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/38619626; firstpage:3; lastpage:13; numberofpages:11; journal:TECHNIQUES IN COLOPROCTOLOGY; https://hdl.handle.net/11573/1709254Test |
| DOI: | 10.1007/s10151-024-02919-1 |
| الإتاحة: | https://doi.org/10.1007/s10151-024-02919-1Test https://hdl.handle.net/11573/1709254Test |
| رقم الانضمام: | edsbas.DB1F5820 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s10151-024-02919-1 |
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