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Quality of life after laparoscopic resection rectopexy

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

This study evaluated continence, constipation, and quality of life (QoL) after laparoscopic resection rectopexy (LRR) for full-thickness rectal prolapse. Results were compared with existing data after perineal rectosigmoidectomy (PRS).

Methods

From May 2003 to February 2008, consecutive patients suffering from full-thickness rectal prolapse undergoing LRR were retrospectively studied. A standardized questionnaire including the Cleveland Clinic Constipation and Incontinence Scores (CCCS and CCIS) as well as general and constipation-related QoL scores (EQ-5D and PAC-QOL) was administered. Results were compared with those after PRS. For statistic analysis, the Wilcoxon test (EQ-5D and EQ-VAS) and two-sample Student’s t test (CCCS, CCIS, and PAC-QOL) were used for LRR, for the comparison of both procedures Mann–Whitney test (EQ-5D) and two-sample Student’s t test (EQ-VAS, CCCS, CCIS, and PAC-QOL).

Results

Eighteen patients, 15 female, aged 58.1 (±20.2) years underwent LRR. Eleven patients completed follow-up. Postoperatively, neither functional outcome nor QoL improved. Two recurrences occurred, morbidity was n = 2, and mortality n = 1. In comparison, patients after PRS benefit from improved constipation, general QoL measures, status of health, and all dimensions of constipation-related QoL.

Conclusions

Patients after LRR do not benefit from improved general nor constipation-related QoL nor improved functional results compared to PRS.

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Authors and Affiliations

  1. Department of General, Gastrointestinal, Vascular and Pediatric Surgery, University Hospital Wuerzburg, Oberduerrbacher Str. 6, 97080, Würzburg, Germany

    Mia Kim, Joachim Reibetanz, Lars Boenicke, Christoph-Thomas Germer & Christoph Isbert

  2. Academic Surgical Unit, St. James’s University Hospital, Leeds, West Yorks, LS9 7TF, UK

    David Jayne

Authors
  1. Mia Kim
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  2. Joachim Reibetanz
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  3. Lars Boenicke
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  4. Christoph-Thomas Germer
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  5. David Jayne
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  6. Christoph Isbert
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Corresponding author

Correspondence to Mia Kim.

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Kim, M., Reibetanz, J., Boenicke, L. et al. Quality of life after laparoscopic resection rectopexy. Int J Colorectal Dis 27, 489–495 (2012). https://doi.org/10.1007/s00384-011-1332-3

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  • DOI: https://doi.org/10.1007/s00384-011-1332-3

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