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

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Abstract

Background and aims

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).

Patients and methods

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.

Results

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), respectively (p < 0.001). Median (range) preoperative and postoperative quality of life score was 79 (39–109) and 109 (50–126), respectively (p < 0.001). No symptom related to ODS was detected at 6-month follow-up (19 patients) and at 24-month follow-up (19 patients).

Conclusion

The combination of STARR and laparoscopy provides a safe and effective method to treat ODS caused by rectal internal prolapse and/or rectocele combined with enterocele.

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Authors and Affiliations

  1. Pelvic Floor Center, Montecchio Emilia, Italy

    Alfonso Carriero, Jacopo Martellucci & Pasquale Talento

  2. Department of Surgery, Civil Hospital “A. Fiorini”, Via Firenze s.n.c, 04019, Terracina, Italy

    Marcello Picchio

  3. Department of Surgery, Civil Hospital “S. Paolo”, Via Terracina 219, 80100, Naples, Italy

    Domenico Palimento

  4. Department of Surgery, University of Rome “La Sapienza”- Polo Pontino, Via Firenze, s.n.c., Terracina, Latina, Italy

    Erasmo Spaziani

  5. Via Giulio Cesare, 58, 04100, Latina, Italy

    Marcello Picchio

Authors
  1. Alfonso Carriero
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  2. Marcello Picchio
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  4. Pasquale Talento
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Correspondence to Marcello Picchio.

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Carriero, A., Picchio, M., Martellucci, J. et al. Laparoscopic correction of enterocele associated to stapled transanal rectal resection for obstructed defecation syndrome. Int J Colorectal Dis 25, 381–387 (2010). https://doi.org/10.1007/s00384-009-0840-x

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