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- W2531555087 abstract "Background and aim: Several operative techniques have been devised for management of rectal prolapse, they can be broadly classified into abdominal and perineal approaches. The perineal approaches are known for their lower morbidity, which made them considered to be the optimal choice for elderly frail patients, however higher recurrence rates were the major drawback of perineal procedures. This report describes a new surgical technique for treatment of complete rectal prolapse combining transperineal mesh rectopexy with a video-assisted transperineal approach to the presacral dissection. Patients and methods: After thorough clinical and physiologic evaluation, six patients (four males and two females) with complete rectal prolapse were submitted for triple repair technique with a median period of follow-up of 11 months. The triple repair technique that we followed consists of video-assisted transperineal mesh rectopexy using the transanal endoscopic microsurgery (TEM) operating proctoscope, post-anal repair, and Thiersch repair. Results: Median age of patients was 27 years. Neither recurrence of rectal prolapse nor major morbidity were reported. Improvement of fecal incontinence (FI) was clinically observed as the median Wexner continence score dropped from 11 preoperatively to 2.5 postoperatively. Similar improvement of median resting and squeeze anal pressures was observed on follow up. Conclusion: Video-assisted transperineal mesh rectopexy can become a promising option in the treatment of complete rectal prolapse. Ascertainment of the long term results of this technique requires further studies with larger sample size." @default.
- W2531555087 created "2016-10-21" @default.
- W2531555087 creator A5008940143 @default.
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- W2531555087 date "2016-01-01" @default.
- W2531555087 modified "2023-09-22" @default.
- W2531555087 title "Video-Assisted Minimally Invasive Transperineal Mesh Sacrorectopexy With Post-Anal Repair And Anal Cerclage For Treatment Of Complete Rectal Prolapse (Novel Technique)" @default.
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- W2531555087 hasPublicationYear "2016" @default.
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