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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1993-5-20
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pubmed:abstractText |
We report our results with abdominal rectopexy (modified Ripstein procedure, Ripstein/Corman) without resection of the colon in 63 patients using lyophylized dura-strips, Vicryl gauze or Dexon gauze, as the underlying fixation material for the mobilized rectum, presacral fascia and fixation suture material. Forty-five of 64 patients (71.4%) were reevaluated by proctoscopic examination and questioning; the mean follow-up time was 52.5 months (range 3-136 months). Postoperative mortality due to the method was 0%; the mortality was 1.6% (n = 1/63) in general for the first postoperative 30-day period as a result of cardiac complications. There were three complications (4.7%) the durating operation. Postoperative morbidity was 25.4% (16/63); infectious complications occurred in 12.7% (8/63) of cases, with one case of spontaneous closure of a pelvicutaneous fistula after intraoperative injury to the rectal wall. Full-thickness rectal prolapse appeared after rectopexy in 4.4% (2/45) (dura material alone) and mucosal prolapse was seen in 15.5% (7/45) of the follow-up group. Constipation was reduced by 28.6% (18/63) to 22.2% during the follow-up. Seventeen of 28 patients (60.7%) with incontinence showed an improvement; total continence was registered in 35.7% (10/28). The increase in continence as a result of abdominal rectopexy was significant (Wilcoxon, P = 0.05). The special aspects of being in an older age group, having a long history of procidentia, the number of deliveries, the length of the preoperative incontinence period all showed no influence on the postoperative degree of continence (Spearman's rank correlation). In 7/15 cases with persisting incontinence after rectopexy, postanal repair (Parks) was efficient in 7/7 cases leading to total or partial continence.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0023-8236
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
378
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
86-91
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8474300-Adult,
pubmed-meshheading:8474300-Aged,
pubmed-meshheading:8474300-Aged, 80 and over,
pubmed-meshheading:8474300-Benzenesulfonates,
pubmed-meshheading:8474300-Fecal Incontinence,
pubmed-meshheading:8474300-Female,
pubmed-meshheading:8474300-Follow-Up Studies,
pubmed-meshheading:8474300-Humans,
pubmed-meshheading:8474300-Male,
pubmed-meshheading:8474300-Middle Aged,
pubmed-meshheading:8474300-Polyglactin 910,
pubmed-meshheading:8474300-Postoperative Complications,
pubmed-meshheading:8474300-Rectal Prolapse,
pubmed-meshheading:8474300-Recurrence,
pubmed-meshheading:8474300-Surgical Mesh,
pubmed-meshheading:8474300-Suture Techniques
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pubmed:year |
1993
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pubmed:articleTitle |
[Clinical and functional results of abdominal rectopexy using different fixation principles].
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pubmed:affiliation |
Klinik und Poliklinik für Allgemeine Chirurgie, Westfälische Wilhelms-Universität, Münster.
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pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
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