Assessment of results of suture rectopexy technique for obstructed defecation syndrome, analysis of recurrent factors

Abstract

Introduction: Based on the obliterative suture technique or stapled transanal rectal resection procedure (STARR technique), Nguyen Trung Vinh introduced Suture Rectopexy Technique for Rectal Intussusception associated with Rectocele can not be treated by preservative management. This study aimed to to evaluate the recurrent factors after surgery.

Patients and methods: 54 female patients with Obstructed Defecation Syndrome (ODS) underwent Suture Rectopexy for Rectal Intussusception associated with Rectocele from 2017 to 2020 at Trieu An Hospital. These patients were followed up and evaluated up to 18 months after surgery.The related factors evaluated were: Defecation Syndrome, ages, number of delivery, defecation duration, pre-operative ODS (Obstructive Defaecation Syndrome Score), size of rectocele on MRI, images of rectocele on MRI, post-operative urinary retention, anal stricture after surgery.

Results: Suture Rectopexy Technique was performed on 54 patients, of them, there were 40 patients had fully follow up for18 months. The improvement of defecation syndrome according to ROME IV after 18 months was 87.5%. ODS (Obstrucive defaecation syndrome Score) post surgery 18 months was 8,13 ± 3,95, the improvement was statiscally significant compares to pre surgery which was 14,6 ± 1,78 (P < 0,05). There were no severe complications recorded. The reccurent factor was found is the defecation duration before surgery.

Conclusions: Suture Rectopexy Technique for Rectal Intussusception associated with Rectocele is highly efficient and safe. The reccurent factor was found is the defecation duration before surgery.

Keywords: Suture Rectopexy Technique, Rectal intussusception, Rectocele, Constipation,Oobstructed Defecation Syndrome (ODS).

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