Využití robotického systému da Vinci při řešení kompletního prolapsu rekta
| Title in English | Robotic system da Vinci in the treatment of complete rectal prolaps |
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| Authors | |
| Year of publication | 2010 |
| Type | Article in Periodical |
| Magazine / Source | Endoskopie |
| MU Faculty or unit | |
| Citation | |
| Web | http://www.casopisendoskopie.cz |
| Field | Surgery incl. transplantology |
| Keywords | Rectal prolaps laparoscopym robotic system da Vinci rectopexy constipation incontinence |
| Description | The aim of this study was to evaluate the functional and clinical results after surgical treatment in the patients with complete rectal prolaps.Between May 2006 and May 2009 37 patients underwent surgical therapy-robotic assisted resection suture rectopexy.Before the operation a detailed clinical history was collected, and the patients were studied by inspection and examination of the anorectum, endoscopy, pancolonic transit time, defecography, anorectal manometry and anal electromyography. After the operation all patients underwent perineal physiotherapy and perineal biofeedback. Results: We are comparing functional and morphologic results after operations. The basal pressure of the anal sphincter, squeezing pressure, rectoanal reflex, do not improved significantly, but perianal pain and evacuation dysorders improved significantly. Conclusion: Transabdominal surgery for complete rectal prolapse between anothers performances transperineal, transanal seems to be most comprehensive, with adequate functional results, and one of the main indication of the use of da Vinci robotic system in colorectal surgery. |