DELORME TRANSRECTAL EXCISION FOR INTERNAL RECTAL PROLAPSE - PATIENT SELECTION, TECHNIQUE, AND 3-YEAR FOLLOW-UP
DELORME TRANSRECTAL EXCISION FOR INTERNAL RECTAL PROLAPSE - PATIENT SELECTION, TECHNIQUE, AND 3-YEAR FOLLOW-UP
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DOI：
10.1007/bf02052209
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发表时间：
1990-07-01
影响因子：
3.9
通讯作者：
RABELER, MB
中科院分区：
文献类型：
--
作者：
BERMAN, IR;HARRIS, MS;RABELER, MB
直肠内肠套叠患者功能性出口梗阻的手术治疗可包括腹部、会阴或经直肠手术。由于腹部手术通常会导致明显的生理影响，但便秘却得不到缓解，因此作者选择了Delorme经直肠切除术来治疗这些患者。由于短期“安慰剂”效应出现在许多治疗中，本报告仅描述了术后三年经直肠切除术的结果。Delorme的经直肠内肠套叠切除术在70%以上的难治性便秘患者中实现了持续的症状缓解。肠套叠与其他异常的关联强调了在选择可能需要手术治疗的便秘患者时确定解剖和功能成分的重要性。关键的技术要素，手术陷阱和潜在的并发症的程序进行了讨论。
Surgical therapy of functional outlet obstruction in patients with internal rectal intussusception may include abdominal, perineal, or transrectal procedures. Because abdominal procedures often result in significant physiologic impact but unrelieved constipation, the authors have elected Delorme's transrectal excision for management of these patients. Since a short-term “placebo” effect attends many therapies, this report describes results of transrectal excision only after a threeyear postoperative period. Delorme's transrectal excision of internal intussusception accomplished sustained symptomatic relief in over 70 percent of otherwise refractory constipated patients. The association of internal intussusception with other abnormalities underscores the importance of defining both anatomic and functional components when selecting patients whose constipation may require surgical therapy. Critical technical elements, surgical pitfalls, and potential complications of the procedure are discussed.