Laparoscopic correction of enterocele associated to stapled transanal rectal resection for obstructed defecation syndrome.

International Journal of Colorectal Disease
A CarrieroErasmo Spaziani

Abstract

We report our experience of concomitant laparoscopic treatment for enterocele and stapled transanal rectal resection (STARR) for rectocele and/or rectal prolapse in patients with complex obstructed defecation syndrome (ODS). From June 2005 to June 2007, we submitted 20 patients with ODS due to rectal prolapse and/or rectocele, combined with stable enterocele, to STARR and laparoscopic correction of the enterocele. Preoperative assessment included symptom evaluation with standardized questionnaires, clinical examination, colonoscopy, proctoscopy, anal sphincter ultrasonography, video-defecography with synchronous opacification of the ileal loops in all patients and colpography in female patients, and anorectal manometry. Follow-up was performed in the first, third, sixth, 12th, and 24th month after surgery. Eighteen (90%) patients were submitted to both procedures, simultaneously. One patient, previously submitted to STARR, underwent laparoscopic treatment of the enterocele. Postoperative complications occurred in two (10%) patients: one case of postoperative rectal bleeding and one case of retropneumoperitoneum. Median (range) preoperative and postoperative Altomare's obstructed defecation score was ten (6-14) and two (0-14), r...Continue Reading

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May 14, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J ReibetanzC Isbert
Nov 30, 2011·Techniques in Coloproctology·L de WeerdS Weum
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Jul 3, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Oliver ZehlerAsad Kutup
Jun 10, 2011·Current Opinion in Urology

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