scholarly journals Same-Day Discharge and Quality of Life for Primary Laparoscopic Rectopexy for Rectal Prolapse in Children: A 10-Year Experience

2020 ◽  
Vol 30 (6) ◽  
pp. 679-684
Author(s):  
Obiyo Osuchukwu ◽  
Robert M. Dorman ◽  
Charlene Dekonenko ◽  
Wendy Jo Svetanoff ◽  
Jason D. Fraser ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Prolapse ◽  
Laparoscopic Rectopexy ◽  
Same Day Discharge

scholarly journals 1057 Outcome Reporting Following Rectopexy Requires Standardisation for Reproducibility and Transparent Outcome Analysis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
H Wa Katolo ◽  
C Fleming ◽  
G Wilkinson ◽  
A Brannigan
Keyword(s):  
Quality Of Life ◽  
Rectal Prolapse ◽  
English Language ◽  
Cleveland Clinic ◽  
Outcome Analysis ◽  
Incontinence Score ◽  
Outcome Reporting ◽  
Randomised Controlled ◽  
The Impact

Abstract Aim Rectopexy is a surgical procedure commonly used to correct rectal prolapse. Several studies have investigated different approaches (abdominal, perineal) and techniques (open, laparoscopic, robotic) in this field however reporting outcomes vary significantly among studies impeding comparison of techniques. We aimed to comprehensively analyse primary outcome reporting methods following rectopexy in published literature. Method A systematic search was performed in keeping with PRISMA guidelines and search protocol registered with PROSPERO. Published databases were searched using the following terms: “rectopexy”, “abdominal rectopexy” and “rectopexy outcomes”. Randomised controlled trials, comparative and non-comparative prospective and retrospective studies published between 1992 and 2019 were included for analysis. Review articles, letters, editorials, abstracts, and non-English language studies were excluded. A narrative description of outcomes was reported. Results A total of 1089 articles were screened, and 32 articles were identified as suitable for inclusion, reporting on 1780 patients who underwent rectopexy surgery. Over 30 unique methods of reporting outcomes were recorded, with the most common being the rate of recurrence (n = 15), Cleveland Clinic Faecal Incontinence score (CCIS) (n = 11), and customised symptom questionnaires (n = 10). Many studies recognised the impact of symptoms of rectal prolapse on patients’ quality of life (QoL) however, few utilised standardised quality of life scores to evaluate the outcome of the procedures. Conclusions As surgical technique evolves in rectopexy, incorporating minimally invasive surgery and robotic surgery, it is important that outcome reporting is standardised to facilitate transparent comparison. Improving patient QoL is the mainstay of surgical intervention and it is important that QoL outcome measures are incorporated.

Risk Factors, Morbidity, and Quality of Life Associated with Same-Day Discharge in Gynecologic Oncology

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Fabrice Narducci ◽  
Emilie Bogart ◽  
Sophie Paget-Bailly ◽  
Ralph Saadeh ◽  
Marie-Cécile Le Deley ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Gynecologic Oncology ◽  
Same Day Discharge

scholarly journals Clinical Outcome after Resection Rectopexy in patients with Constipation and Rectal Prolapse

2021 ◽  
Author(s):  
Adisa Poljo ◽  
Bettina Klugsberger ◽  
Günther Klimbacher ◽  
Wolfgang Schimetta ◽  
Andreas Shamiyeh
Keyword(s):  
Quality Of Life ◽  
Rectal Prolapse ◽  
Laparoscopic Resection ◽  
Cleveland Clinic ◽  
Outlet Obstruction ◽  
Resection Rectopexy ◽  
Laparoscopic Resection Rectopexy ◽  
Gastrointestinal Quality Of Life ◽  
Giqli Score

Abstract Purpose Laparoscopic resection rectopexy (LRR) is an established procedure for the treatment of rectal prolapse. This study evaluated constipation and gastrointestinal quality of life in patients before and after LRR for rectal prolapse. Methods 30 patients (24 females, 6 males) underwent laparoscopic anterior (n = 14), posterior (n = 8) and suture resection rectopexy (n = 8) for rectal prolapse during 2010–2020. 25 were retrospectively evaluated for constipation and gastrointestinal quality of life using validated Cleveland Clinic Constipation Score (CCCS) and Gastrointestinal Quality of Life Index (GIQLI). Results Constipation score was significantly reduced from median 16.0 ± 6.4 to 6.0 ± 4.7 after 68.0 ± 42.8 months (p < 0.001). Constipation was improved in 20 patients (80.0%), unaltered in 2 patients and worse in 3 patients. Prior abdominal surgeries were associated with less improvement for constipation (p < 0,05). Significant improvement in GIQLI score was observed, with median total GIQLI score increasing from 95.0 ± 14.8 to 124.0 ± 18.2 (p < 0.001). Quality of life improved in 21 patients (84.0%). Positive changes were also observed in GIQLI subgroups of gastrointestinal symptoms, emotions, physical status, social dysfunction and effects of medical treatment (p < 0.001). There was no difference in outcome between the three procedures. Conclusion Laparoscopic resection rectopexy for rectal prolapse is safe, feasible, and very effective regarding both perioperative results and long-term functional outcome. Our results suggest that LRR significantly improves constipation in patients with outlet obstruction and clearly contributes to a higher quality of life.

P6527Patients discharged on the same day following elective PCI report equal satisfaction using health related quality of life instruments as compared to usual care: results from a randomized trial

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
N B Bogale ◽  
T M Melberg ◽  
M S Skadberg ◽  
G A Aasen ◽  
D N Nilsen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Bed Occupancy ◽  
Post Procedure ◽  
Sf 36 ◽  
Same Day Discharge ◽  
Related Quality ◽  
Health Related ◽  
Quality Of Life Instruments

Abstract Background Earlier observations in the era of femoral procedures using warfarin as the anticoagulant agent have shown safety following same day discharge after elective percutaneous coronary intervention (PCI) for stable coronary artery disease (CAD). Procedures have evolved with most European centres adopting radial procedures with corresponding improvement in technique and equipment. Adoption of “radial lounges” has improved and simplified the observation routines with early ambulation. Antiplatelet therapy has also become more efficacious. The safety of same day discharge has been demonstrated. The economic benefit of such a strategy is significant with reported cost reductions of approximately 50%. Patient reported satisfaction is also shown to be comparable to standard care. The current bed availability in health care facilities has made it a necessity to explore measures to reduce bed occupancy rates. Reduction in bed occupancy can further permit health personell to focus on other duties and obligations in wards with patients requiring hospitalization. Early discharge may cause anxiety and dissatisfaction among patients. Purpose The aim of our study was to evaluate safety and patient satisfaction of same discharge following uncomplicated elective radial access PCI. Methods Randomized controlled single center study. Eligible patients scheduled for elective PCI with radial access were prescreened following predefined inclusion and exclusion criteria. Health related quality of life instruments (HRQOL), Seattle Angina Questionnaire (SAQ), Short form 36 (SF-36) and Hospital Anxiety and Depression Scale (HADS) were completed by the patients and received at base line and at 30 days post-procedure. All same day discharged patients were contacted by phone by a specialized study nurse the day after the procedure. Results 517 patients were screened between November 2015 and November 2018 and 82 patients with mean age of 65 years were block randomized post-procedure. 38 patients were randomized to same day discharge after 6 hours of observation and 44 patients to standard care group which necessitated an overnight hospitalization. 11 female patients and 71 male patients were included. No adverse events were registered in either group. No significant difference between groups were observed in the SAQ (treatment satisfaction score p=0.48, angina frequency scale p=0.58), SF-36 (SF vitality p=0.93) or HADS (HADS anxiety + depression p=0.15). Changes of HADS score Conclusions Discharge on the same day following uncomplicated PCI for stable angina is safe and patient health related quality of life instruments confirm that patients are equally satisfied with this new care strategy when compared to usual care. Acknowledgement/Funding Stavanger University Hospital

Recurrence and Quality of Life Following Perineal Proctectomy for Rectal Prolapse

2008 ◽  
Vol 12 (8) ◽  
pp. 1446-1451 ◽  
Author(s):  
Sean C. Glasgow ◽  
Elisa H. Birnbaum ◽  
Ira J. Kodner ◽  
James W. Fleshman ◽  
David W. Dietz
Keyword(s):  
Quality Of Life ◽  
Rectal Prolapse

scholarly journals Laparoscopic Rectopexy – A New Management for Rectal Prolapse at the Georgetown Public Hospital Corporation

2019 ◽  
pp. 19-20
Author(s):  
Joshua Bhudial ◽  
Hemraj Ramcharran ◽  
Navin Rambarran ◽  
Zoilo Leon
Keyword(s):  
Rectal Prolapse ◽  
Design Method ◽  
Laparoscopic Rectopexy ◽  
Pelvic Diaphragm ◽  
Laparoscopic Ventral Mesh Rectopexy ◽  
The Caribbean ◽  
Ventral Mesh Rectopexy ◽  
Mesh Rectopexy

Introduction: Rectal prolapse is a debilitating and unpleasant condition adversely affecting the quality of life. It is a distal displacement of the rectum through the pelvic diaphragm that produces pressure symptoms on other pelvic organs causing fecal incontinence, obstructive defecation, or even strangulation. Different perineal and abdominal approaches have been described for surgical correction of rectal prolapse. Laparoscopic Rectopexy has been proven to be an effective treatment for rectal prolapse. Objective: LPR has recently been practiced as a method of treatment for rectal prolapse at GPHC. This study aims to assess the clinical and functional outcomes of the patients who underwent Laparoscopic Rectopexy in the effort to highlight this practice in Guyana and the Caribbean. Design /Method: The study design includes a retrospective review and prospective follow-up of a series of 4 patients who underwent LPR at GPHC for rectal prolapse. Pre-operative, intra-operative and post-operative factors surrounding the procedure were recorded and analyzed. Results: All patients were males of 29-52 years of age. One (1) Patient was a smoker and One (1) used alcohol. Two (2) patients had a previous perineal approach for rectal prolapse that recurred. No comorbidities were recorded. All patients had complete rectal procidentia. Laparoscopic Ventral Mesh Rectopexy was done for each patient. None of the cases were converted. All patients were fully ambulant by postoperative day one and all were discharged by postoperative day three. No short-term recurrence was recorded for three patients; the fourth patient did not complete the six months postoperative period. Conclusion: Laparoscopic Rectopexy was successfully pioneered at GPHC as a method of management for rectal prolapse with good outcomes.

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