Functional and Sexual Outcomes After Laparoscopic Ventral Mesh Rectopexy for Complex Rectocele
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- changes in the Wexner constipation score
研究概览
简要总结
The ideal surgical strategy for treating complex rectocele remains a topic for debate, with the transanal, transperineal, and transvaginal approach and the abdominal approach being at conflict with one another. While the transvaginal repair is more popular among gynecologists, the trans abdominal approach has become increasingly common among colorectal surgeons, in part due to the rising demand for minimally invasive surgery.
详细描述
For the treatment of rectoceles and ODS in general, the laparoscopic method has recently come to light as a promising alternative.
Laparoscopic ventral mesh rectopexy (LVMR) was originally described for the management of rectal prolapse. However, It was also recommended with encouraging results for the treatment of large symptomatic rectocele.
The present study aims to evaluate the safety and efficacy of LVMR for complex rectocele.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •multiparous female patients.
- •aged between 30 and 60 years
- •who were diagnosed with complex anterior rectocele- more than 3cm after failed medical treatment- with history of either vaginal delivery or caesarian section.
- •complex rectocele was one having any of the following features: size > 3 cm in diameter, associated enterocoele or internal rectal prolapse
排除标准
- •paradoxical contraction of puborectalis muscle (anismus),
- •complete external rectal prolapse
- •fecal incontinence
- •other benign anal conditions
- •those who are unfit for surgery due to associated severe co-morbidities
结局指标
主要结局
changes in the Wexner constipation score
时间窗: 6 months
improvement in constipation, if the score is decreasing this means improving
次要结局
- sexual function changes(6 months)
研究者
Ahmad Sakr
consultant and lecturer of general surgery
Mansoura University