Laparoscopic ventral mesh rectopexy for obstructive defecation syndrome: Follow-up in the Indian population
| العنوان: | Laparoscopic ventral mesh rectopexy for obstructive defecation syndrome: Follow-up in the Indian population |
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| المؤلفون: | Vishakha Kalikar, Pranav Mandovra, Roy V Patankar |
| المصدر: | Journal of Minimal Access Surgery, Vol 17, Iss 3, Pp 305-310 (2021) Journal of Minimal Access Surgery |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Constipation, Mesh rectopexy, RD1-811, business.industry, Indian population, Context (language use), RC799-869, Diseases of the digestive system. Gastroenterology, Anatomical Abnormality, Surgery, obstructive defecation syndrome, laparoscopic ventral mesh rectopexy, follow-up, Medicine, Operative time, Statistical analysis, Original Article, medicine.symptom, business, Obstructive defecation syndrome |
| الوصف: | Context: Obstructive defecation syndrome (ODS) is a poorly understood cause of constipation. In selected patients not responding to conservative management, surgical options may be offered. Laparoscopic ventral mesh rectopexy (LVMR) is another surgical option which gained popularity in the past decade. Aim: This study aims to identify the efficacy of LVMR in the Indian population. Setting and Design: It is a retrospective analysis of prospectively collected data of patients who underwent LVMR from January 2015 to January 2017 at a tertiary centre in India. Subjects and Methods: Thirty patients fulfilled the inclusion criteria. Patients were periodically followed for 2 years. Pre- and post-operative modified Longo's ODS scores were recorded and compared. Furthermore, other complications were noted and evaluated. Statistical Analysis Used: Relevant statistical tests were used to analyse the collected data. Results: Thirty patients (28 females, 2 males, mean age: 52.4 years) underwent LVMR for ODS due to anatomical abnormality like rectorectal intussusceptions (RRIs) (36.7%), rectocele (13.3%), or combined RRI with rectocele (50%). The mean pre-operative modified Longo's ODS score was 23.17 ± 4.82 which decreased to 2.37 ± 1.59 at the end of 6 months and 1.23 ± 1.14 and 1.57 ± 1.14 at the end of 12 months and 2 years, respectively. The mean modified Longo's ODS score showed a significant fall of 94.7% at 12-month follow-up and 93.2% fall on 2-year follow-up. The mean operative time was 115 min and the average hospital stay of patients who underwent LVMR was 3.26 days. Conclusion: LVMR is a safe surgical procedure with minimal complications and good functional results for ODS patients due to rectal anatomical abnormality. Further larger studies are required to decide the best treatment modality for ODS. |
| اللغة: | English |
| تدمد: | 1998-3921 0972-9941 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9c5b8f11801a7e93c0fe7db6102482cf http://www.journalofmas.com/article.asp?issn=0972-9941;year=2021;volume=17;issue=3;spage=305;epage=310;aulast=Mandovra |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....9c5b8f11801a7e93c0fe7db6102482cf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19983921 09729941 |
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