Author | dc.contributor.author | Mansilla, J. E. | |
Author | dc.contributor.author | Bannura Cumsille, Guillermo | |
Author | dc.contributor.author | Contreras, J. P. | |
Author | dc.contributor.author | Barrera, Alejandro | |
Author | dc.contributor.author | Melo, C. L. | |
Author | dc.contributor.author | Soto, D. | |
Admission date | dc.date.accessioned | 2019-01-29T13:47:56Z | |
Available date | dc.date.available | 2019-01-29T13:47:56Z | |
Publication date | dc.date.issued | 2006 | |
Cita de ítem | dc.identifier.citation | Techniques in Coloproctology, Volumen 10, Issue 2, 2006, Pages 106-110 | |
Identifier | dc.identifier.issn | 11236337 | |
Identifier | dc.identifier.other | 10.1007/s10151-006-0261-6 | |
Identifier | dc.identifier.uri | https://repositorio.uchile.cl/handle/2250/159866 | |
Abstract | dc.description.abstract | A variety of surgical procedures is used to correct complete rectal prolapse (RP). We analysed the immediate and long-term results of the Lomas-Cooperman technique in the management of symptomatic RP in elderly patients with severe concomitant diseases. Across a 13-year period, all patients with RP having undergone surgery with this procedure were retrospectively evaluated. The technique consisted in placing a triply folded piece of polypropylene mesh encircling the anal canal through a perineal approach. A total of 22 patients (20 female) with a mean age of 84 years (range, 72-93 years) with severe concomitant pathologies were assessed. Four patients were classified as ASA II and 18 as ASA III. Mean Karnofsky score was 50%, ranging between 40% and 60%. All patients were operated on under regional anaesthesia without incidents. Mean operative time was 35 min(range, 20-60 min) and mean hospital stay was 4.5 days (range, 2-17 days). The most common immediate postoperative complication was urinary tract infection, found in 18% of the cases. Mean follow-up was 32 months (range, 4-84 months). During follow-up, 4 cases (18%) of mesh exteriorisation were detected, requiring mesh trimming at the outpatient clinic. Rectal prolapse recurred in 2 patients; one of them was managed with a new cerclage reaching a satisfactory outcome. Thus, by intention-to-treat basis, the recurrence rate was 4.5%. Constipation was resolved in three out of 4 patients, but in 18% of the cases late faecal impact was recorded. Mean preoperative incontinence score improved from 5.1+/-0.62 to 3.4+/-1.61 (p<0.0001) after surgery. Anal cerclage with the Lomas-Cooperman technique constitutes a simple and reproducible surgical technique with an acceptable morbidity and recurrence rate in high-risk elderly patients with RP. | |
Lenguage | dc.language.iso | en | |
Source | dc.source | Techniques in Coloproctology | |
Keywords | dc.subject | Anal cerclage | |
Keywords | dc.subject | Rectal prolapse | |
Título | dc.title | Lomas-Cooperman technique for rectal prolapse in the elderly patient | |
Document type | dc.type | Artículo de revista | |
dcterms.accessRights | dcterms.accessRights | Acceso a solo metadatos | |
Cataloguer | uchile.catalogador | jmm | |
Indexation | uchile.index | Artículo de publicación SCOPUS | |
uchile.cosecha | uchile.cosecha | SI | |