Academic Journal
Focused analysis of the surgical management for recurrence of internal rectal prolapse and obstructed defecation syndrome after stapled rectal resection procedures: a long-term single-center experience.
| Τίτλος: | Focused analysis of the surgical management for recurrence of internal rectal prolapse and obstructed defecation syndrome after stapled rectal resection procedures: a long-term single-center experience. |
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| Συγγραφείς: | Marra AA; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Varrella C; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Caruso C; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Simonelli I; Biostatistical Service, Clinical Trial Center, Isola Tiberina - Gemelli Isola Hospital, Rome, Italy.; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy., Parello A; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Litta F; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Campennì P; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Pagano M; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy., Ratto C; Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via Di Ponte Quattro Capi, 39, Rome, 00186, Italy. carloratto@tiscali.it.; Department of Medical and Surgical Sciences, Università Cattolica del Sacro Cuore, Rome, Italy. carloratto@tiscali.it. |
| Πηγή: | International journal of colorectal disease [Int J Colorectal Dis] 2026 Jun 11; Vol. 41 (1). Date of Electronic Publication: 2026 Jun 11. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer International Country of Publication: Germany NLM ID: 8607899 Publication Model: Electronic Cited Medium: Internet ISSN: 1432-1262 (Electronic) Linking ISSN: 01791958 NLM ISO Abbreviation: Int J Colorectal Dis Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Heidelberg] : [New York : Springer International ; Springer-Verlag, distributor], 1986- |
| Ιατρικοί όροι (MeSH): | Rectal Prolapse*/surgery , Rectal Prolapse*/physiopathology , Surgical Stapling*/adverse effects , Rectum*/surgery , Rectum*/physiopathology , Defecation*, Postoperative Complications/etiology ; Humans ; Female ; Recurrence ; Syndrome ; Aged ; Middle Aged ; Colorectal Surgical Procedures ; Time Factors |
| Περίληψη: | Background: Stapled rectal resection procedures have been adopted for the treatment of internal rectal prolapse (IRP) and obstructed defecation syndrome (ODS). However, concerns remain in case of surgery for recurrence. This study aimed to analyze the impact of a staple-line scar in patients undergoing surgery for IRP and ODS recurrence. Methods: A prospective maintained database of patients who underwent abdominal or perineal surgery for IRP and ODS between November 1998 and January 2025 was retrospectively analyzed. Patients with a history of stapled rectal resection procedures were specifically evaluated. Baseline clinical and radiological characteristics, surgical complexity related to stapled suture, postoperative complications, recurrence, and ODS and fecal incontinence scores were collected. Results: Of 376 female patients, 50 (13.3%) with prior stapled rectal resection procedures underwent surgery for IRP and ODS recurrence. In three cases, the staple-line scar could not be safely overcome. At last follow-up, recurrence and complication rates were comparable between patients with and without previous stapled procedures (4.8% vs. 6.1% and 19.0% vs. 18.4%, respectively). One patient in the stapled group experienced persistent pelvic pain despite anatomical correction. Although ODS and fecal incontinence scores improved overall, patients with prior stapled rectal resection reported higher ODS scores. However, linear mixed-effects analysis did not demonstrate statistically significant differences between groups. Conclusions: Surgery for IRP and ODS recurrence after stapled rectal resection procedures is challenging. Although previous stapled rectal resection procedures may be associated with higher ODS scores, further studies are needed to clarify these findings. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Competing interests: The authors declare no competing interests. |
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| Contributed Indexing: | Keywords: Internal rectal prolapse; Obstructed defecation syndrome; Rectal prolapse surgery; Recurrence surgery; Stapled rectal resection |
| Entry Date(s): | Date Created: 20260611 Date Completed: 20260818 Latest Revision: 20260820 |
| Update Code: | 20260820 |
| PubMed Central ID: | PMC13481581 |
| DOI: | 10.1007/s00384-026-05167-x |
| PMID: | 42274779 |
| Βάση Δεδομένων: | MEDLINE |
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