Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis

External rectal prolapse; Surgery

Detalles Bibliográficos
Autores: Simillis, Constantinos, Pellino, Gianluca, Fuschillo, Giacomo, Selvaggi, Lucio, Signoriello, Giuseppe, Vinci, Danilo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/8018
Acceso en línea:https://hdl.handle.net/11351/8018
Access Level:acceso abierto
Palabra clave:Recte - Malalties - Cirurgia
DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Rectal Diseases::Rectal Prolapse
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::enfermedades del recto::prolapso rectal
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
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network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
title Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
spellingShingle Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
Simillis, Constantinos
Recte - Malalties - Cirurgia
DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Rectal Diseases::Rectal Prolapse
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::enfermedades del recto::prolapso rectal
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
title_short Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
title_full Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
title_fullStr Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
title_full_unstemmed Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
title_sort Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysis
dc.creator.none.fl_str_mv Simillis, Constantinos
Pellino, Gianluca
Fuschillo, Giacomo
Selvaggi, Lucio
Signoriello, Giuseppe
Vinci, Danilo
author Simillis, Constantinos
author_facet Simillis, Constantinos
Pellino, Gianluca
Fuschillo, Giacomo
Selvaggi, Lucio
Signoriello, Giuseppe
Vinci, Danilo
author_role author
author2 Pellino, Gianluca
Fuschillo, Giacomo
Selvaggi, Lucio
Signoriello, Giuseppe
Vinci, Danilo
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Pellino G] Colorectal Surgery, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Fuschillo G, Selvaggi L, Vinci D] Colorectal Surgery, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy. [Simillis C] Cambridge Colorectal Unit, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. [Signoriello G] Section of Statistic, Department of Experimental Medicine, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Recte - Malalties - Cirurgia
DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Rectal Diseases::Rectal Prolapse
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::enfermedades del recto::prolapso rectal
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
topic Recte - Malalties - Cirurgia
DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Rectal Diseases::Rectal Prolapse
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::enfermedades del recto::prolapso rectal
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
description External rectal prolapse; Surgery
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/8018
url https://hdl.handle.net/11351/8018
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BJS Open;6(2)
https://doi.org/10.1093/bjsopen/zrac018
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405175380180992
spelling Abdominal versus perineal approach for external rectal prolapse: systematic review with meta-analysisSimillis, ConstantinosPellino, GianlucaFuschillo, GiacomoSelvaggi, LucioSignoriello, GiuseppeVinci, DaniloRecte - Malalties - CirurgiaDISEASES::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Rectal Diseases::Rectal ProlapseOther subheadings::Other subheadings::Other subheadings::/surgeryENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::enfermedades intestinales::enfermedades del recto::prolapso rectalOtros calificadores::Otros calificadores::Otros calificadores::/cirugíaExternal rectal prolapse; SurgeryProlapso rectal externo; CirurgíaProlapse rectal extern; CirurgiaBackground External rectal prolapse (ERP) is a debilitating condition in which surgery plays an important role. The aim of this study was to evaluate the outcomes of abdominal approaches (AA) and perineal approaches (PA) to ERP. Methods This was a PRISMA-compliant systematic review with meta-analysis. Studies published between 1990 and 2021 were retrieved. The primary endpoint was recurrence at the last available follow-up. Secondary endpoints included factors associated with recurrence and function. All studies were assessed for bias using the Newcastle–Ottawa Scale and Cochrane tool. Results Fifteen studies involving 1611 patients (AA = 817; PA = 794) treated for ERP were included, three of which were randomized controlled trials (RCTs; 114 patients (AA = 54; PA = 60)). Duration of follow-up ranged from 12 to 82 months. Recurrence in non-randomized studies was 7.7 per cent in AA versus 20.1 per cent in PA (odds ratio (OR) 0.29, 95 per cent confidence interval (c.i.) 0.17 to 0.50; P < 0.001, I2 = 45 per cent). In RCTs, there was no significant difference (9.8 per cent versus 16.3 per cent, AA versus PA (OR 0.82, 95 per cent c.i. 0.29 to 2.37; P = 0.72, I2 = 0.0 per cent)). Age at surgery and duration of follow-up were risk factors for recurrence. Following AA, the recurrence rates were 10.1 per cent and 6.2 per cent in patients aged 65 years and older and less than 65 years of age, respectively (effect size [e.s.] 7.7, 95 per cent c.i. 4.5 to 11.5). Following PA, rates were 27 per cent and 16.3 per cent (e.s. 20.1, 95 per cent c.i. 13 to 28.2). Extending follow-up to at least 40 months increased the likelihood of recurrence. The median duration of hospital stay was 4.9 days after PA versus 7.2 days after AA. Overall, incontinence was less likely after AA (OR 0.32), but constipation occurred more frequently (OR 1.68). Most studies were retrospective, and several outcomes from RCTs were not consistent with those observed in non-RCTs. Conclusion The overall risk of recurrence of ERP appears to be higher with PA versus AA. Incontinence is less frequent after AA but at the cost of increased constipation. Age at surgery and duration of follow-up are associated with increased risk of recurrence, which warrants adequate reporting of future studies on this topic.Oxford University PressInstitut Català de la Salut[Pellino G] Colorectal Surgery, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Fuschillo G, Selvaggi L, Vinci D] Colorectal Surgery, Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, Italy. [Simillis C] Cambridge Colorectal Unit, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. [Signoriello G] Section of Statistic, Department of Experimental Medicine, Università degli Studi della Campania ‘Luigi Vanvitelli’, Naples, ItalyVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/8018Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésBJS Open;6(2)https://doi.org/10.1093/bjsopen/zrac018Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/80182026-06-12T09:38:37Z
score 15.812429

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