Laparoscopic Rectopexy in Solitary Rectal Ulcer
Patients with Solitary Rectal Ulcer Syndrome (SRUS) come to a physician with passage of mucus and bloody liquid within defecation. The treatment for SRUS is depended to the severity of symptoms and the existance of rectal prolapse. This study is a report of the assessing of rectopexy as surgical mod...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2011-12-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/19747.pdf&manuscript_id=19747 |
| _version_ | 1831715506194743296 |
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| author | Hassan Salmanroughani Shokoh Taghipoor Fariba Binesh Saeed Kargar Shady Kargar |
| author_facet | Hassan Salmanroughani Shokoh Taghipoor Fariba Binesh Saeed Kargar Shady Kargar |
| author_sort | Hassan Salmanroughani |
| collection | DOAJ |
| description | Patients with Solitary Rectal Ulcer Syndrome (SRUS) come to a physician with passage of mucus and bloody liquid within defecation. The treatment for SRUS is depended to the severity of symptoms and the existance of rectal prolapse. This study is a report of the assessing of rectopexy as surgical modalities for 62 medical treatment resistant SRUS patients who were referred to the gastrointestinal department of Shahid Sadoughi Medical University and Mojibian hospital. The present non-randomized clinical trial was carried out in 62 SRUS patients from 1991 till 2005. In these patients SRUS was confirmed by histology. They were symptomatic after conservative therapy and referred for surgical intervention. All of them had been undergone abdominal rectopexy by two laparoscopic surgeons. In our study, rectal bleeding and history of digitalization had the highest and lowest frequency of symptoms and signs in our cases respectively. Abdominal rectopexy was done in 39 cases and complete recovery in our cases was 69.23%. Complete recovery rate in cases with dysplasia (63.8%) was significantly higher than cases without that (P=0.04). Complete recovery rate in cases that had finger defecation (85%) was significantly higher than cases without that (50%) (P=0.03). Laparoscopic rectopexy is one of the main surgical techniques for treatment of SRUS. This technique can present complete recovery for SRUS patients. Some of them include topical medications, behavior modification supplemented by fiber and biofeedback and surgery were more available and studied. But it seems that education of SRUS patient conservative treatment remain cornerstone in the SRUS management. |
| first_indexed | 2024-12-21T00:19:35Z |
| format | Article |
| id | doaj.art-691ada58abb54bf6a6fc0ed2d52fd3ae |
| institution | Directory Open Access Journal |
| issn | 0044-6025 0173-5969 |
| language | English |
| last_indexed | 2024-12-21T00:19:35Z |
| publishDate | 2011-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-691ada58abb54bf6a6fc0ed2d52fd3ae2022-12-21T19:22:07ZengTehran University of Medical SciencesActa Medica Iranica0044-60250173-59692011-12-014912810813Laparoscopic Rectopexy in Solitary Rectal UlcerHassan SalmanroughaniShokoh TaghipoorFariba BineshSaeed KargarShady KargarPatients with Solitary Rectal Ulcer Syndrome (SRUS) come to a physician with passage of mucus and bloody liquid within defecation. The treatment for SRUS is depended to the severity of symptoms and the existance of rectal prolapse. This study is a report of the assessing of rectopexy as surgical modalities for 62 medical treatment resistant SRUS patients who were referred to the gastrointestinal department of Shahid Sadoughi Medical University and Mojibian hospital. The present non-randomized clinical trial was carried out in 62 SRUS patients from 1991 till 2005. In these patients SRUS was confirmed by histology. They were symptomatic after conservative therapy and referred for surgical intervention. All of them had been undergone abdominal rectopexy by two laparoscopic surgeons. In our study, rectal bleeding and history of digitalization had the highest and lowest frequency of symptoms and signs in our cases respectively. Abdominal rectopexy was done in 39 cases and complete recovery in our cases was 69.23%. Complete recovery rate in cases with dysplasia (63.8%) was significantly higher than cases without that (P=0.04). Complete recovery rate in cases that had finger defecation (85%) was significantly higher than cases without that (50%) (P=0.03). Laparoscopic rectopexy is one of the main surgical techniques for treatment of SRUS. This technique can present complete recovery for SRUS patients. Some of them include topical medications, behavior modification supplemented by fiber and biofeedback and surgery were more available and studied. But it seems that education of SRUS patient conservative treatment remain cornerstone in the SRUS management.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/19747.pdf&manuscript_id=19747DefecationLaparoscopyRecoveryRectopexySolitary Rectal Ulcer Syndrome |
| spellingShingle | Hassan Salmanroughani Shokoh Taghipoor Fariba Binesh Saeed Kargar Shady Kargar Laparoscopic Rectopexy in Solitary Rectal Ulcer Acta Medica Iranica Defecation Laparoscopy Recovery Rectopexy Solitary Rectal Ulcer Syndrome |
| title | Laparoscopic Rectopexy in Solitary Rectal Ulcer |
| title_full | Laparoscopic Rectopexy in Solitary Rectal Ulcer |
| title_fullStr | Laparoscopic Rectopexy in Solitary Rectal Ulcer |
| title_full_unstemmed | Laparoscopic Rectopexy in Solitary Rectal Ulcer |
| title_short | Laparoscopic Rectopexy in Solitary Rectal Ulcer |
| title_sort | laparoscopic rectopexy in solitary rectal ulcer |
| topic | Defecation Laparoscopy Recovery Rectopexy Solitary Rectal Ulcer Syndrome |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/19747.pdf&manuscript_id=19747 |
| work_keys_str_mv | AT hassansalmanroughani laparoscopicrectopexyinsolitaryrectalulcer AT shokohtaghipoor laparoscopicrectopexyinsolitaryrectalulcer AT faribabinesh laparoscopicrectopexyinsolitaryrectalulcer AT saeedkargar laparoscopicrectopexyinsolitaryrectalulcer AT shadykargar laparoscopicrectopexyinsolitaryrectalulcer |