laparoscopic rectopexy in solitary rectal ulcer
نویسندگان
چکیده
patients with solitary rectal ulcer syndrome (srus) come to a physician with passage of mucus and bloody liquid within defecation. the treatment for srus is depended to the severity of symptoms and the existance of rectal prolapse. this study is a report of the assessing of rectopexy as surgical modalities for 62 medical treatment resistant srus patients who were referred to the gastrointestinal department of shahid sadoughi medical university and mojibian hospital. the present non-randomized clinical trial was carried out in 62 srus patients from 1991 till 2005. in these patients srus was confirmed by histology. they were symptomatic after conservative therapy and referred for surgical intervention. all of them had been undergone abdominal rectopexy by two laparoscopic surgeons. in our study, rectal bleeding and history of digitalization had the highest and lowest frequency of symptoms and signs in our cases respectively. abdominal rectopexy was done in 39 cases and complete recovery in our cases was 69.23%. complete recovery rate in cases with dysplasia (63.8%) was significantly higher than cases without that (p=0.04). complete recovery rate in cases that had finger defecation (85%) was significantly higher than cases without that (50%) (p=0.03). laparoscopic rectopexy is one of the main surgical techniques for treatment of srus. this technique can present complete recovery for srus patients. some of them include topical medications, behavior modification supplemented by fiber and biofeedback and surgery were more available and studied. but it seems that education of srus patient conservative treatment remain cornerstone in the srus management.
منابع مشابه
Novel combined approach in the management of non-healing solitary rectal ulcer syndrome – laparoscopic resection rectopexy and transanal endoscopic microsurgery
Solitary rectal ulcer syndrome (SRUS) is an uncommon chronic disorder with a wide range of endoscopic findings, clinical presentations and characteristic histopathological features. There is no clear consensus regarding SRUS management, because of its poorly understood pathogenesis and frequent association with various pelvic floor disorders. Laparoscopic resection rectopexy and transanal endos...
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عنوان ژورنال:
acta medica iranicaجلد ۴۹، شماره ۱۲، صفحات ۸۱۰-۸۱۳
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