Perineal stapled prolapse resection for external rectal prolapse: is it worthwhile in the long-term?
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2013
- doi: 10.1007/s10151-013-1009-8
- issn: 1123-6337
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info:eu-repo/semantics/altIdentifier/doi/10.1007/s10151-013-1009-8
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info:eu-repo/semantics/altIdentifier/pmid/23613218
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info:eu-repo/semantics/altIdentifier/eissn/1128-045X
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_11C8914FFDD11
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C. Tschuor et al., « Perineal stapled prolapse resection for external rectal prolapse: is it worthwhile in the long-term? », Serveur académique Lausannois, ID : 10.1007/s10151-013-1009-8
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BACKGROUND: Perineal stapled prolapse (PSP) resection is a novel operation for treating external rectal prolapse. However, no long-term results have been reported in the literature. This study analyses the long-term recurrence rate, functional outcome, and morbidity associated with PSP resection. METHODS: Nine consecutive patients undergoing PSP resection between 2007 and 2011 were prospectively followed. Surgery was performed by the same surgeons in a standardised technique. Recurrence rate, functional outcome, and complication grade were prospectively assessed. RESULTS: All 9 patients undergoing PSP resection were investigated. The median age was 72 years (range 25-88 years). No intraoperative complications occurred. Faecal incontinence, preoperatively present in 2 patients, worsened postoperatively in one patient (Vaizey 18-22). One patient developed new-onset faecal incontinence (Vaizey 18). The median obstructive defecation syndrome score decreased postoperatively significantly from 11 (median; range 8-13) to 5 (median; range 4-8) (p