caa a22 4500 606248757 CHVBK 20210128101352.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1196-1 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1196-1 Rectal Prolapse in Women—Outcomes of Perineal and Abdominal Approaches [Elektronische Daten] [Michal Mik, Radzislaw Trzcinski, Ryszard Kujawski, Lukasz Dziki, Marcin Tchorzewski, Adam Dziki] The aim of the study was to assess the clinical and functional results of surgical treatment of female patients with rectal prolapse. In the period of 2003-2010, the group of 86 female patients (mean age of 67 ± 10) underwent surgery due to rectal prolapse. The group of 24 patients (27.9%) suffered from mild anal incontinence. They were operated on with open sutured rectopexy (18 pts), Altemeier (45 pts) and Delorme procedure (23 pts). Prior to surgery and after operation, clinical and function results were obtained. The follow-up period amounted to 32 ± 11months. In perineal approaches, we found mortality in one patient (1.4%, Delorme) and anastomotic leak in four patients (5.9%). The recurrence rate in the perineal group was 11.8% (eight patients). We noted one recurrence in the rectopexy group (5.6%). The Altemeier procedure revealed the most significant impact on the function of the anal sphincter muscles and resting pressures (42 ± 7 vs 53 ± 9cm H2O; p = 0.0082). If anterior levatoroplasty was added, the benefits referred also to squeeze pressures (41 ± 8 vs 58 ± 9cm H2O; p = 0.006 and 42 ± 10 vs 56 ± 9cm H2O; p = 0.01). In the treatment of rectal prolapse, there is still no consensus about the operation of choice. Selection of the appropriate method should be based on clinical findings and patients' comorbidities to obtain maximal benefits and minimize the postoperative risk and failures. Association of Surgeons of India, 2014 Rectal prolapse nationallicence Surgical treatment nationallicence Delorme procedure nationallicence Rectopexy nationallicence Altemeier procedure nationallicence Functional results nationallicence Mik Michal Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut Trzcinski Radzislaw Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut Kujawski Ryszard Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut Dziki Lukasz Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut Tchorzewski Marcin Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut Dziki Adam Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut Indian Journal of Surgery Springer India 77(2015-12-01), 1121-1125 0972-2068 77<1121 2015 77 12262 https://doi.org/10.1007/s12262-014-1196-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1196-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mik Michal Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut NATIONALLICENCE 700 1- Trzcinski Radzislaw Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut NATIONALLICENCE 700 1- Kujawski Ryszard Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut NATIONALLICENCE 700 1- Dziki Lukasz Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut NATIONALLICENCE 700 1- Tchorzewski Marcin Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut NATIONALLICENCE 700 1- Dziki Adam Department of General and Colorectal Surgery, Medical University of Lodz, Plac Hallera 1, 90-647, Lodz, Poland aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1121-1125 0972-2068 77<1121 2015 77 12262