AI Article Synopsis
- The study aimed to evaluate the short-term effectiveness of transanal rectocele repair using a linear stapler and Bioabsorbable Seamguard in women with obstructed defecation syndrome.
- Results showed significant improvements in both obstructed defecation severity scores and quality of life metrics over one year post-operation, indicating the procedure's success.
- The findings conclude that this method of rectocele repair is safe and produces good outcomes with minimal complications, making it a promising option for affected patients.
Article Abstract
Purpose: This study was designed to determine the short-term results of transanal rectocele repair with use of a linear stapler and Bioabsorbable Seamguard.
Methods: Ten women (median age, 56.1 y) with obstructed defecation syndrome were enrolled in the study. The preoperative study consisted of a medical history, physical examination, anoscopy, endoanal ultrasound, and defecography. All patients completed a severity score and a visual analog scale for global quality of life, and provided the postoperative dates of complications.
Results: Overall, the treatment significantly improved the obstructed defecation: the severity score improved from a median of 19.8 +/- 4.2 at baseline to 6.10 +/- 8.2 at one month (P < .005), 5.9 +/- 8.3 at 6 months (P < .005), and 6 +/- 8.3 at one year after the operation (P < .005). A significant improvement was observed in the visual analog scale, which improved from a median of 1.8 +/- 1.4 at baseline to 6 +/- 1.6 at one month (P < .005), 6.6 +/- 2.1 at 6 months (P < .004), and 7 +/- 2.5 at one year (P < .004). A significant improvement was also observed in various symptoms. Only 2 patients manifested urgent defecation.
Conclusions: The present study demonstrates that rectocele repair using a linear stapler and Seamguard is a safe, easy procedure, with a very low rate of complications and good immediate outcome.
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| http://dx.doi.org/10.1007/DCR.0b013e3181baec51 | DOI Listing |
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