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Clinical outcomes of surgical management for recurrent rectal prolapse: a multicenter retrospective study

Authors
Hong, Kwang DaeHyun, KeehoonUm, Jun WonYoon, Seo-GueHwang, Do YeonShin, JaewonLee, DooseokBaek, Se-JinKang, SangheeMin, Byung WookPark, Kyu JooRyoo, Seung-BumOh, Heung-KwonKim, Min HyunChung, Choon SikJoh, Yong GeulKorean Anorectal Physiology and Pelvic Floor Disorder Study Group
Issue Date
Apr-2022
Publisher
대한외과학회
Keywords
Abdomen/surgery; Perineum/surgery; Rectal prolapse; Recurrence
Citation
Annals of Surgical Treatment and Research, v.102, no.4, pp.234 - 240
Indexed
SCIE
SCOPUS
KCI
Journal Title
Annals of Surgical Treatment and Research
Volume
102
Number
4
Start Page
234
End Page
240
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/55730
DOI
10.4174/astr.2022.102.4.234
ISSN
2288-6575
Abstract
Purpose There are few reports on outcomes following surgical repair of recurrent rectal prolapse. The purpose of this study was to examine surgical outcomes for recurrent rectal prolapse. Methods We conducted a multicenter retrospective study of patients who underwent surgery for recurrent rectal prolapse. This study used data collected by the Korean Anorectal Physiology and Pelvic Floor Disorder Study Group. Results A total of 166 patients who underwent surgery for recurrent rectal prolapse were registered retrospectively between 2011 and 2016 in 8 referral hospitals. Among them, 153 patients were finally enrolled, excluding 13 patients who were not followed up postoperatively. Median follow-up duration was 40 months (range, 0.2–129.3 months). Methods of surgical repair for recurrent rectal prolapse included perineal approach (n = 96) and abdominal approach (n = 57). Postoperative complications occurred in 16 patients (10.5%). There was no significant difference in complication rate between perineal and abdominal approach groups. While patients who underwent the perineal approach were older and more fragile, patients who underwent the abdominal approach had longer operation time and admission days (P < 0.05). Overall, 29 patients (19.0%) showed re-recurrence after surgery. Among variables, none affected the re-recurrence. Conclusion For the recurrent rectal prolapse, the perineal approach is used for the old and fragile patients. The postoperative complications and re-recurrence rate between perineal and abdominal approach were not different significantly. No factor including surgical method affected re-recurrence for recurrent rectal prolapse.
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Baek, Se Jin
안암병원 (Department of Colon and Rectal Surgery, Anam Hospital)
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