期刊文献+

Literature review of the outcome of and methods used to improve transperineal repair of rectocele 被引量:2

下载PDF
导出
摘要 BACKGROUND Rectocele is commonly seen in parous women and sometimes associated with symptoms of obstructed defecation syndrome(ODS).AIM To assess the current literature in regard to the outcome of the classical transperineal repair(TPR)of rectocele and its technical modifications.METHODS An organized literature search for studies that assessed the outcome of TPR of rectocele was performed.PubMed/Medline and Google Scholar were queried in the period of January 1991 through December 2020.The main outcome measures were improvement in ODS symptoms,improvement in sexual functions and continence,changes in manometric parameters,and quality of life.RESULTS After screening of 306 studies,24 articles were found eligible for inclusion to the review.Nine studies(301 patients)assessed the classical TPR of rectocele.The median rate of postoperative improvement in ODS symptoms was 72.7%(range,45.8%-83.3%)and reduction in rectocele size ranged from 41.4%-95.0%.Modifications of the classical repair entailed omission of levatorplasty,addition of implant,concomitant lateral internal sphincterotomy,changing the direction of plication of rectovaginal septum,and site-specific repair.CONCLUSION The transperineal repair of rectocele is associated with satisfactory,yet variable,improvement in ODS symptoms with parallel increase in quality-of-life score.Several modifications of the classical TPR were described.These modifications include omission of levatorplasty,insertion of implants,performing lateral sphincterotomy,changing the direction of classical plication,and site-specific repair.The indications for these modifications are not yet fully clear and need further prospective studies to help tailor the technique to rectocele patients.
机构地区 General Surgery
出处 《World Journal of Gastrointestinal Surgery》 SCIE 2021年第9期1063-1078,共16页 世界胃肠外科杂志(英文版)(电子版)
  • 相关文献

参考文献1

二级参考文献55

  • 1Jochen Wedemeyer,Timm Kirchhoff,Gernot Sellge,Oliver Bachmann,Joachim Lotz,Michael Galanski,Michael P.Manns,Michael J.Gebel,Jrg S.Bleck.Transcutaneous perianal sonography:A sensitive method for the detection of perianal inflammatory lesions in Crohn's disease[J].World Journal of Gastroenterology,2004,10(19):2859-2863. 被引量:8
  • 2Philip Hilgard,Alisan Kahraman,Nils Lehmann,Cornelia Seltmann,Susanne Beckebaum,R Stefan Ross,Hideo A Baba,Massimo Malago,Christoph E Broelsch,Guido Gerken.Cyclosporine versus tacrolimus in patients with HCV infection after liver transplantation:Effects on virus replication and recurrent hepatitis[J].World Journal of Gastroenterology,2006,12(5):697-702. 被引量:236
  • 3C. Ellis,Rahila Essani.Treatment of Obstructed Defecation[J]. Clinics in Colon and Rectal Surgery . 2012 (01)
  • 4Wald A,Bharucha AE,Cosman BC,Whitehead WE.ACG clinical guideline:management of benign anorectal disorders. The American journal of Gastroenterology . 2014
  • 5M. Beer-Gabel,M. Teshler,E. Schechtman,A. P. Zbar.??Dynamic transperineal ultrasound vs. defecography in patients with evacuatory difficulty: a pilot study(J)International Journal of Colorectal Disease . 2003 (1)
  • 6Marc Beer-Gabel,Mark Teshler,Naphtali Barzilai,Yoav Lurie,Stephen Malnick,David Bass,Andrew Zbar.??Dynamic Transperineal Ultrasound in the Diagnosis of Pelvic Floor Disorders: Pilot Study(J)Diseases of the Colon & Rectum . 2002 (2)
  • 7B. Roche,J. Deléaval,A. Fransioli,M.-C. Marti.??Comparison of transanal and external perineal ultrasonography(J)European Radiology . 2001 (7)
  • 8Oppenheimer D A,Carroll B A,Shochat S J.Sonography of imperforate anus. Radiology . 1983
  • 9A. H. Sultan,P. B. Loder,C. I. Bartram,M. A. Kamm,C. N. Hudson.??Vaginal endosonography(J)Diseases of the Colon & Rectum . 1994 (12)
  • 10Tonolini M,Maconi G.Imaging of Perianal Inflammatory Diseases. . 2013

共引文献5

同被引文献5

引证文献2

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部