Trans-anal Endoscopic Microsurgery (TEM) Assisted Perineal Rectopexy With Postanal Repair and Anal Cerclage In Treatment of Rectal Prolapse (Novel Technique)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Recurrence of prolapse
研究概览
简要总结
Curvilinear incision in the postanal space, through the intersphincteric plane, insertion of Proctoscope of TEM technique and dissection till sacral promontory, insertion of mesh between the rectum and sacrum, post anal repair then anal cerclage width absorbable suture.
详细描述
Perineal Rectopexy is performed by an incision in the intersphincteric space followed by dissection till the sacral promontory then Proctoscope is inserted to complete the dissection .Mesh is inserted and fixed to the sacrum with laparoscopic tacker ( or can be left unfixed) then postanal repair is conducted in two layers ( levatorplasty then sphincteroplasty) and finally Ana cerclage is done with polyglactin 0 sutures
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
- 14 Years 至 80 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with complete or partial rectal prolapse
排除标准
- •patients unfit for surgery
- •patients with previous surgery for rectal prolapse
- •patients with associated anorectal pathology (e.g fistula )
- •patients with constipation as a predominant symptom.
结局指标
主要结局
Recurrence of prolapse
时间窗: 12 months
Number of patients presenting with recurrent rectal prolapse within 12 months after surgery
次要结局
- Improvement of continence state(12 months)
研究者
Sameh Emile
Lecturer of general surgery
Mansoura University