Blas FM, Rangel PJH, Almeraya OJ, Pichardo FMA, García TBN, Solís CF, Cruz CU, Pasillas FMA, Reyes EC

Language: Spanish
References: 15
Page: 97-104
PDF size: 207.63 Kb.

ABSTRACT

Objectives: Compare the transoperative and postoperative complications of the MIS vs open surgery repair in the surgical management of the rectal prolapse.
Methods: This is a descriptive, observational, comparative study. The place was the Hospital de Especialidades del Centro Médico «La Raza», IMSS. Patients were operated from April 2003 to April 2008. We review the clinical files with diagnostic of full-thickness rectal prolapse. We compared the two groups about operative bleeding, hospitalary stay, fecal incontinence, surgical site infection, intraabdominal abscess, disruption of anastomosis, embolic complications, respiratory alteration. Data analysis: descriptive statistical. The t-test and chi-square.
Results: We analyze 27 patients, 9 underwent to MIS repair an 18 underwent to open surgery repair. We found relation between age of presentation of rectal prolapse and the patient sex. There was significant difference about the operative bleeding and the type of repair. The bleeding is minor in the MIS group (p = 0.045). There was significant difference in hospitalary stay, it was minor in MIS group (p ‹ 0.05). We didn’t find relationship between the type of surgery and abscess presentation, surgical site infection, anastomosis disruption, embolic complication, respiratory alteration.
Conclusions: There is significant difference about operative bleeding an hospital stay in patients with rectal prolapse management with MIS repair comparated with open surgery repair. They are minor in minimal invasive surgery.

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