Transsacral Rectopexy for Complete Rectal Prolapse.
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概要
- 論文の詳細を見る
A prospective study was carried out to analyze the clinical and functional results of transsacral rectopexy with a DEXON<SUP>TM</SUP> mesh in the elderly or poor risk patients with complete rectal prolapse. Six patients with complete rectal prolapse were operated from 1994 to 1996. All patients could be traced for examination with anorectal manometry and defecography. None of the patients had recurrence for the longest three years. In postoperative clinical symptoms, fecal incontinence score recovered from the preoperative mean score of 3.8 to the postoperative 1.2 and constipation was improved in 4 out of 5 cases (80.0%). Straining anorectal angle (S-ARA) by defecography improved from the preoperative value of 120.6±6.9° to the postoperative value of 98.5±3.5°(p<0.05) and the perineal descent (PD) improved from the preoperative value of 16.2±2.5 cm to the postoperative value 8.1±1.3 cm (p<0.05). Maximal resting pressure (MRP) increased from the preoperative value of 20.5±3.7 cmH<SUB>2</SUB>O to the postoperative value of 40.5±4.8 cmH<SUB>2</SUB>O (p<0.05). Transsacral rectopexy with DEXON<SUP>TM</SUP> mesh for complete rectal prolapse is useful as this technique is simple to conduct, can be applied to the elderly or poor risk patients, replaces rectal prolapse, improves defecation troubles and recovers fecal incontinence.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Araki Yasumi
Department Of Surgery Kurume University Medical Center
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Kodama Takahito
Department Of Surgery Kurume University Medical Center
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Yamauchi Kenzi
Department Of Applied Physics Faculty Of Engineering Nagoya University
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ISOMOTO Hiroharu
Department of Surgery, Kurume University Medical Center
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TSUZI Yoshiaki
Department of Surgery, Kurume University Medical Center
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Hayashi Katsumi
Department Of Gastroenterology Nagoya Daini Red Cross Hospital
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Yasunaga Masafumi
Department Of Anatomic Pathology Kyushu University Hospital
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Matsumoto Atsushi
Department Of Electric Engineering Hiroshima Institute Of Technology
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