DOES SURGERY RESOLVE OUTLET OBSTRUCTION FROM RECTOCELE

被引:33
作者
INFANTINO, A
MASIN, A
MELEGA, E
DODI, G
LISE, M
机构
[1] Clinica Chirurgica II, Università degli Studi, Padova
关键词
D O I
10.1007/BF00341206
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In order to ascertain whether plastic surgery for rectocele is of value in the treatment of outlet obstruction, a retrospective study was made of 21 women complaining of difficulty in expelling faeces: 13 patients (group A) underwent surgery with transanal longitudinal plication of the anterior rectal wall (Block's technique), and 8 patients (group B) had colpoperineoplasty which, in 2, was associated with bladder-neck suspension following the Raz-Peyrera technique for urinary incontinence. The mean follow-up was 24.2 +/- 18.7 and 36.8 +/- 17.8 months respectively. In 11 group A patients (80.9%) and 6 group B patients (75%) cure, or an improvement, was achieved. Of the remaining 4 patients (19%), recurrent rectocele was found in 2 (one group A and one group B) and intestinal transit time tests detected colonic constipation in one group A and in one group B patient. It is concluded that surgery can resolve outlet obstruction from rectocele, but Block's technique is preferable because it is more straight-forward and easier.
引用
收藏
页码:97 / 100
页数:4
相关论文
共 21 条
[11]  
Jones P.N., Lubowski D.Z., Swash M., Henry M.M., Is paradoxical contraction of puborectalis muscle of functional importance?, Dis Colon Rectum, 30, pp. 667-670, (1987)
[12]  
Johansson C., Nilsson B.Y., Holtrom B., Dolk A., Is paradoxical sphincter reaction provoked by needle electrode electromiography?, Dis Colon Rectum, 34, pp. 1109-1112, (1991)
[13]  
Siproudis L., Dautreme S., Ropert A., Bretagne J-F, Heresbach D., Raoul J-L, Gosselin M., Dyschezia and rectocele — A marriage of convenience, Dis colon Rectum, 36, pp. 1030-1036, (1993)
[14]  
Kuhn R.J.P., Hollyock V.E., Observations of the anatomy of the rectovaginal pouch and septum, Obstet Gynecol, 59, pp. 445-447, (1982)
[15]  
Capps W.F., Rectoplasty and perineoplasty for the symptomatic rectocele: a report of fifty cases, Dis Colon Rectum, 26, pp. 792-796, (1985)
[16]  
Arnold M.W., William R.C., Stewart C., Aguilar P.S., Rectocele repair. Four years experiences, Dis Colon Rectum, 33, pp. 684-687, (1990)
[17]  
Sarles J.C., Arnaud A., Selezneff I., Olivier S., Endo-rectal repair of rectocele, Int J Colorect Dis, 4, pp. 167-171, (1989)
[18]  
Taylor T., Smith A.N., Fulton M., Effects of hysterectomy on bowel and bladder dysfunction, Int J Colorect Dis, 5, pp. 228-231, (1990)
[19]  
Pemberton J.H., Rath D.M., Ilstrup D.M., Evaluation and surgical treatment of severe chronic constipation, Ann Surg, 214, pp. 403-413, (1991)
[20]  
Kubchandani I.T., Sheets J.A., Stasik J.J., Hakki A.R., Endorectal repair of rectocele, Diseases of the Colon & Rectum, 26, pp. 792-796, (1983)