Kết quả bước đầu phẫu thuật điều trị sa trực tràng tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To evaluate the initial results of the abdominal and perineal approach for rectal prolapse. Subject and method: A cross-sectional, retrospective and prospective study of patients diagnosed with rectal prolapse, abdominal and perineal approach in 108 Military Central Hospital from January 2017 to October 2020. Result: 34 patients including 25 patients with abdominal surgery, 9 patients with perineal approach respectively for the following rates: The average age of the two groups was 62.4 ± 18.7 years; 68.0 ± 21.2  years, respectively; Male female: 0.47/1, 0.5/1, respectively. The ASA III index was 60.0%; 77.8%, respectively. Frequent constipation symptoms were 60.0%, 100%, respectively. The percentage of patients with vaginal prolapse, uterus combined with abdominal surgery was 20% and 55.6% of patients with stress urinary incontinence combined with the perineal approach. The average hospital stay was 4.5 ± 1.1 days and 7.1 ± 1.1 days, respectively. The proportion of recurrence and complications in the abdominal surgery group was 1 patient (4.0%), 2 patients (8.0%). There were no recurrences, complications in the perineal approach group. 100% of patients in 2 groups improved the symptoms of stool incontinence. Constipation symptom improvement was 96.0% and 100%, respectively. Conclusion: Initial results mean that surgery to treat rectal prolapse is safe and effective. The surgical technique depends on the disease severity, the associated diseses.