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Rectopexy Is an Ineffective Treatment for Obstructed Defecation W. J. Orrom, M.Sc., F.R.C.S.C.,* D. C. C. Bartolo, M.S., F.R.C.S.,-~ R. Miller, M.S., F.R.C.S.,-~ N. J. McC. Mortensen, M.S., F.R.C.S., + A. M. Roe, M.S., F.R.C.S.-~ From the Division of Colon and Rectal Surgery,* Department of Surgery, University of Minnesota Hospital, Minneapolis, Minnesota; Bristol Royal Infirmary,+ Bristol, United Kingdom; and John Radcliffe Hospital,~ Oxford, United Kingdom Orrom wJ, Bartolo DCC, Miller R, Mortensen NJMcC, for those with a colonic motility disorder, 4 9 or an Roe AM. Rectopexy is an ineffective treatment for ob- internal sphincterotomy or myectomy for those structed defecation. Dis Colon Rectum 1991;34:41-46. with outlet obstruction. I~ Paradoxical contrac- tion of the puborectalis or anismus has been im- The symptoms of obstructed defecation have been attrib- uted to rectal intussusception, and thus rectopexy has plicated as a cause of intractable constipation. 3' 13 been advocated in the surgical management. In this study, 15 Posterior and lateral division of the puborectalis patients with obstructed defecation underwent manome- has been described in such patients demonstrating try and proctography before and after rectopexy. Seven- teen patients (16 females and one male, mean age 51.6 persistence of the puborectalis impression on
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Jan 1, 1991
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