检索结果-南通市图书馆

World Journal of Gastroenterology 2010年第20期16卷 2542-2548页

作者： Zhang, Bin Ding, Jian-Hua Yin, Shu-Hui Zhang, Meng Zhao, Ke Second Artillary Gen Hosp Dept Colon Rectal Surg Beijing 100088 Peoples R China Second Artillary Gen Hosp Dept Lab Med Beijing 100088 Peoples R China

AIM:To evaluate the safety and efficacy of stapled transanal rectal resection(STARR),and to analyze the outcome of the patients 12-mo after the ***:From May 2007 to October 2008,50 female patients with rectocele and/or rectal intussusception underwent *** preoperative status,perioperative and postoperative complications at baseline,3,6 and 12-mo were *** were collected prospectively from standardized questionnaires for the assessment of constipation[constipation scoring system,Longo’s obstructed defecation syndrome(ODS)score system,symptom severity score],patient satisfaction (visual analogue scale),and quality of life(Patient Assessment of Constipation-Quality of Life Questionnaire).RESULTS:At a 12-mo follow-up,significant improvement in the constipation scoring system,ODS score system,symptom severity score,visual analog scale and quality of life(Prectocele and rectal intussusception.

关键词： Stapled transanal rectal resection Obstructed defecation syndrome rectocele Rectal intussusception

Measuring the space between vagina and rectum as it relates to rectocele

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2009年第24期15卷 3051-3054页

作者： Jin Liu Li-Dong Zhai Yun-Sheng Li Wan-Xiang Liu Rui-Hua Wang Department of Anatomy and Neurobiology Tianjian Medical University Tianjin 300070 China Radiology Division Tianjin Hongqiao Hospital Tianjin 300131 China

AIM:To measure the normal space between the posterior wall of the vagina and the anterior wall of the respectively rectum using computed tomography(CT) and reveal its were relationship to rectocele. METHODS:A total of twenty female volunteers without rectocele were examined by CT *** performed a middle level continuous horizontal pelvic scan from the upper part to the lower part and collected the measurement data to analyze the results using t-test. RESULTS:Twenty volunteers were enrolled in the study. The space between the posterior wall of the vagina and the anterior wall of the rectum was measured at three levels(upper 1/3,middle,lower 1/3 level of vagina). The results showed that the space from the posterior wall of the vagina to the anterior wall of the rectum at the upper 1/3 level and the middle level was 3.896 ±0.3617 mm and 4.6575±0.3052 mm,respectively. When the two groups of data were compared,we found the space at the upper 1/3 level was shorter than at the middle level(Prectocele clinical diagnosis and functional outcomes of rectocele repair.

关键词： Measurement Space rectocele Computed tomography

Is the transperineal ultrasonography approach effective for the diagnosis of rectocele?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Gastroenterology Report 2021年第5期9卷 461-469,I0003页

作者： Yi-Bo Yao Hao-Qiang Yin Hai-Jun Wang Hong-Tao Liang Bo Wang Chen Wang Department of Proctology Longhua Hospital affiliated to Shanghai University of TCMShanghaiP.R.China Department of Ultrasonic Longhua Hospital affiliated to Shanghai University of TCMShanghaiP.R.China Shanghai Hao Zhuo Data Service Co.Ltd ShanghaiP.R.China

Background Transperineal ultrasonography has been used as a diagnostic imaging modality for rectocele for many ***,the consistency of ultrasonography and defecography in evaluating the severity of rectocele was not *** study aimed to evaluate the agreement in the measurement of rectocele parameters between the two methods in different positions and provide clinical implications for the diagnosis of *** In this pilot study,participants were recruited in an outpatient clinic of a tertiary hospital between December 2017 and December *** participants separately underwent defecation proctography at sitting and squatting positions,and undertook transperineal ultrasonography at left lateral,sitting,and squatting *** consistency of ultrasonography and defecography was *** Thirty female volunteers with rectocele were included in this *** degree of anorectal angle was significantly larger at rest and during contraction,maximal Valsalva,and evacuation;the depth of the rectocele was significantly deeper during maximal Valsalva and evacuation;and the length of the perineumdescending was significantly longer during contraction and maximal Valsalva in using squatting position compared to the sitting position when performing the defecation *** degree of anorectal angle,the depth of rectocele,the area of levator hiatus,and the volume of the rectocele were significantly different in using squatting,sitting,and left lateral positions when performing the transperineal ***-Altman semi-quantitative plots showed good consistency in the measurement of the anorectal angle and the depth of the rectocele between proctography and ultrasonography in both sitting and squatting *** The findings of our study may be considered as the preliminary evidence to support the use of transperineal ultrasonography with sitting and squatting positions as the imaging test of choice for eva

关键词： transperineal ultrasonography defecation proctography rectocele sitting position squatting position consistency

Outcomes of a modified Bresler procedure for the treatment of rectocele with rectal intussusception

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Gastroenterology Report 2020年第6期8卷 457-464,I0002页

作者： Qun Deng Kai-Lin Yu Zhi-Yong Liu Zhong Shen Ya-Hui Wang Yong-Mao Song Chang-Jian Wang Xiao-Ping Xu Jian-Wei Wang Department of Colorectal Surgery The Second Affiliated Hospital of Zhejiang University School of MedicineHangzhouZhejiangChina Department of Ultrasonography The Second Affiliated Hospital of Zhejiang University School of MedicineHangzhouChina Department of Anorectal Surgery The Third People’s Hospital of HangzhouHangzhouZhejiangChina Department of Colorectal Surgery The First People’s Hospital of Yuhang DistrictHangzhouZhejiangChina

Background:Obstructed defecation syndrome(ODS)is a condition that is frequently caused by rectocele and rectal *** study aimed to evaluate the effectiveness of a modified Bresler procedure for the treatment of *** outcomes of this modified procedure were compared with the stapled transanal rectal resection(STARR)***:We performed a retrospective analysis of the clinical data from 76 female patients who presented with ODS between June 2014 and June *** patients were divided into two treatment groups,namely Modified and *** in the Modified group(n=36)underwent the modified Bresler procedure,which involved posterior rectal-wall resection using a circular tubular stapler with multilevel purse-string *** in the STARR group(n=40)underwent the standard STARR *** analysed post-operative complications,Wexner constipation scores(WCS),rectocele depths,and four-point post-operative satisfaction ***:Patients in the Modified group exhibited shorter operative times and fewer post-operative complications(both Prectocele depth between the two groups(P>0.05).Post-operative interviews at post-operative 12 months showed that patients in the Modified group had a better satisfaction(P=0.05).Conclusions:Our modified procedure may be an effective treatment strategy for patients experiencing ODS caused by rectocele and rectal intussusception,with fewer complications and effective relief of symptoms.

关键词： Bresler procedure stapled transanal rectal resection obstructed defecation obstructive constipation rectocele rectal intussusception

Khubchandani's procedure combined with stapled posterior rectal wall resection for rectocele

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2019年第11期25卷 1421-1431页

作者： Yi Shao Yong-Xing Fu Qing-Fa Wang Zhi-Qiang Cheng Guang-Yong Zhang San-Yuan Hu Department of General Surgery Qilu Hospital of Shandong UniversityJinan 250012Shandong ProvinceChina Department of Neonatal Medicine Yidu Central Hospital of Weifang Weifang 262500Shandong ProvinceChina

BACKGROUND Obstructed defecation syndrome(ODS) is a widespread disease in the *** is the most common cause of ODS in females. Multiple procedures have been performed to treat rectocele and no procedure has been accepted as the gold-standard procedure. Stapled transanal rectal resection(STARR) has been widely used. However, there are still some disadvantages in this procedure and its effectiveness in anterior wall repair is doubtful. Therefore, new procedures are expected to further improve the treatment of *** To evaluate the efficacy and safety of a novel rectocele repair combining Khubchandani's procedure with stapled posterior rectal wall *** A cohort of 93 patients were recruited in our randomized clinical trial and were divided into two different groups in a randomized manner. Forty-two patients(group A) underwent Khubchandani's procedure with stapled posterior rectal wall resection and 51 patients(group B) underwent the STARR ***-up was performed at 1, 3, 6, and 12 mo after the operation. Preoperative and postoperative ODS scores and depth of rectocele, postoperative complications, blood loss, and hospital stay of each patient were documented. All data were analyzed statistically to evaluate the efficiency and safety of our *** In group A, 42 patients underwent Khubchandani's procedure with stapled posterior rectal wall resection and 34 were followed until the final analysis. In group B, 51 patients underwent the STARR procedure and 37 were followed until the final analysis. Mean operative duration was 41.47 ± 6.43 min(group A) vs39.24 ± 6.53 min(group B). Mean hospital stay was 3.15 ± 0.70 d(group A) vs 3.14± 0.54 d(group B). Mean blood loss was 10.91 ± 2.52 mL(group A) vs 10.14 ± 1.86 m L(group B). Mean ODS score in group A declined from 16.50 ± 2.06 before operation to 5.06 ± 1.07 one year after the operation, whereas in group B it was17.11 ± 2.57 before operation and 6.03 ± 2.63 one year after

关键词： rectocele Rectal prolapse Obstructed defecation syndrome Khubchandani’s procedure Stapled posterior rectal wall resection Stapled transanal rectal resection

Therapeutic effects of the TST36 stapler on rectocele combined with internal rectal prolapse

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2021年第5期13卷 443-451页

作者： Jin Meng Zhi-Tao Yin Ying-Yi Zhang Yong Zhang Xiu Zhao Qing Zhai De-Yu Chen Wei-Gang Yu Lei Wang Zhi-Gang Wang Department of Anorectal Disease Shenyang Coloproctology HospitalShenyang 110000Liaoning ProvinceChina Department of Anorectal Disease Shenyang Hospital of Traditional Chinese MedicineShenyang 110000Liaoning ProvinceChina First Department of General Surgery The Third People’s Hospital of DalianDalian 116000Liaoning ProvinceChina

BACKGROUND The most common causes of outlet obstructive constipation(OOC)are rectocele and internal rectal *** surgical methods for OOC are diverse and difficult,and the postoperative complications and recurrence rate are high,which results in both physical and mental pain in *** the continuous deepening of the surgeon’s concept of minimally invasive surgery and continuous in-depth research on the mechanism of OOC,the treatment concepts and surgical methods are continuously *** To determine the efficacy of the TST36 stapler in the treatment of rectocele combined with internal rectal *** From January 2017 to July 2019,49 female patients with rectocele and internal rectal prolapse who met the inclusion criteria were selected for treatment using the TST36 *** Forty-five patients were cured,4 patients improved,and the cure rate was 92%.The postoperative obstructed defecation syndrome score,the defecation frequency score,time/straining intensity,and sensation of incomplete evacuation were significantly decreased compared with these parameters before treatment,and the differences were statistically significant(Prectocele,resting phase,and defecation phase in these patients were significantly decreased compared with those before treatment,and the differences were statistically significant(Prectocele combined with internal rectal prolapse and is worth promoting in clinical work.

关键词： TST36 stapler rectocele Internal rectal prolapse Outlet obstructive constipation Longo obstructed defecation syndrome score Constipation

Literature review of the outcome of and methods used to improve transperineal repair of rectocele

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2021年第9期13卷 1063-1078页

作者： Mohammad Fathy Ahmed Hossam Elfallal Sameh Hany Emile General Surgery Mansoura University Faculty of MedicineMansoura 35516Egypt

BACKGROUND rectocele is commonly seen in parous women and sometimes associated with symptoms of obstructed defecation syndrome(ODS).AIM To assess the current literature in regard to the outcome of the classical transperineal repair(TPR)of rectocele and its technical *** An organized literature search for studies that assessed the outcome of TPR of rectocele was ***/Medline and Google Scholar were queried in the period of January 1991 through December *** main outcome measures were improvement in ODS symptoms,improvement in sexual functions and continence,changes in manometric parameters,and quality of *** After screening of 306 studies,24 articles were found eligible for inclusion to the *** studies(301 patients)assessed the classical TPR of *** median rate of postoperative improvement in ODS symptoms was 72.7%(range,45.8%-83.3%)and reduction in rectocele size ranged from 41.4%-95.0%.Modifications of the classical repair entailed omission of levatorplasty,addition of implant,concomitant lateral internal sphincterotomy,changing the direction of plication of rectovaginal septum,and site-specific *** The transperineal repair of rectocele is associated with satisfactory,yet variable,improvement in ODS symptoms with parallel increase in quality-of-life *** modifications of the classical TPR were *** modifications include omission of levatorplasty,insertion of implants,performing lateral sphincterotomy,changing the direction of classical plication,and site-specific *** indications for these modifications are not yet fully clear and need further prospective studies to help tailor the technique to rectocele patients.

关键词： Transperineal repair rectocele Review Modifications Outcome

Bloodless Outpatient Surgical Treatment of rectocele and Cystocele under Local Anesthesia

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Obstetrics and Gynecology 2021年第5期11卷 569-577页

作者： Octacílio Figueirêdo Netto Priscila Garcia Figueirêdo Eduardo Garcia Figueirêdo Wildecir Barros Department of Gynecology and Obstetrics Londrina State University Londrina Brazil Endofemina Gynecologic Surgery and Laser Londrina Brazil *** Online Vaginal Surgery Course Londrina Brazil Brazilian College of Laser Sculpture Brasília Brazil Bella Forma Laser Brasília Brazil

Background: Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia, and patients commonly have to stay in the hospital for at least one or two days. The possibility of performing the surgery under local anesthesia, as an outpatient procedure with minimal bleeding and pain, no surgical assistants, with immediate discharge and, most importantly, without compromising postoperative results, is appealing. To our knowledge, no studies have evaluated whether performing rectocele and/or cystocele rectocele repair under local infiltration anesthesia and without separation of the vaginal mucosa from the underlying fascia achieves these goals. Objective: The aim of this study is to describe a new surgical technique for outpatient treatment of cystocele and rectocele under local anesthesia, and our initial results. Materials and Methods: Forty women underwent outpatient surgical repair of rectocele and/or cystocele between April and September 2020 at the ambulatory procedure room of the authors’ clinics. The technique consists of a triangular-shaped CO2

Significance of defecography and the role of rectocele in constipated patients

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Gastroenterology 2012年第2期2卷 40-44页

作者： Mehmet Abdussamet Bozkurt Ahmet Sürek Murat Gonenc Mustafa Uygar Kalayci Halil Alis Department of General Surgery Bakırkoy Dr. Sadi Konuk Training and Research Hospital İstanbul Turkey

Backround: Chronic constipation is a common, chronic and frequent problem of the general population. The aim of this study is to assess the efficacy of defecography in diagnosing the etiology of constipation and the relation between constipation and rectocele. Material-method: We have investigated 250 patients who have been admitted to our general surgery out-patient clinic with complaint of constipation using Rome III criteria and diagnostic defecography. Results: Out of 250 patients who were evaluated with defecography only 24 had normal findings. 136 patients were found to have rectocele. Conclusion: We propose that rectocele is an important etiology of constipation, and defecography should be considered early in the diagnosis of rectocele.

关键词： Defecography rectocele Chronic Constipation

Comparative outcome of stapled trans-anal rectal resection and macrogol in the treatment of defecation disorders

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2011年第37期17卷 4199-4205页

作者： Ivano Biviano Danilo Badiali Laura Candeloro Fortunée Irene Irene Habib Massimo Mongardini Angelo Caviglia Fiorella Anzini Enrico S Corazziari Department of Medicine and Medical Specialties SAPIENZA RomeUniversity 00161 Rome Italy Department of Surgical Sciences Division of General Surgery L SAPIENZA Rome University 00161Rome Italy Departmental Operative Unit of Colonproctology Hospital San Camillo-Forlanini 00161 Rome Italy

AIM:To prospectively assess the eff icacy and safety of stapled trans-anal rectal resection(STARR) compared to standard conservative treatment,and whether preoperative symptoms and findings at defecography and anorectal manometry can predict the outcome of ***:Thirty patients(Female,28;age:51 ± 9 years) with rectocele or rectal intussusception,a defecation disorder,and functional constipation were submitted for *** comparable patients(Female,30;age 53 ± 13 years),who presented with symptoms of rectocele or rectal intussusception and were treated with macrogol,were *** were interviewed with a standardized questionnaire at study enrollment and 38 ± 18 mo after the STARR procedure or during macrogol treatment.A responder was def ined as an absence of the Rome Ⅲ diagnostic criteria for functional *** and rectoanal manometry were performed before and after the STARR procedure in 16 and 12 patients,***:After STARR,53% of patients were responders;during conservative treatment,75% were *** STARR,30% of the patients reported the use of laxatives,17% had intermittent anal pain,13% had anal leakage,13% required digital facilitation,6% experienced defecatory urgency,6% experienced fecal incontinence,and 6% required *** macrogol therapy,23% of the patients complained of abdominal bloating and 13% of borborygmi,and 3% required digital *** preoperative symptom,defecographic,or manometric finding predicted the outcome of ***-operative defecography showed a statistically significant reduction(P < 0.05) of the rectal diameter and *** postoperative anorectal manometry showed that anal pressure and rectal sensitivity were not significantly modified,and that rectal compliance was reduced(P = 0.01).CONCLUSION:STARR is not better and is less safe than macrogol in the treatment of defecation *** could be considered as an alternative therapy in patien

关键词： Constipation Obstructed defecation rectocele Rectal intussusception Stapled trans-anal rectal resection