Concurrent total abdominal colectomy and ileorectal anastomosis with transvaginal posterior colporrhaphy for constipation
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Constipation, one of the most commonly encountered gastrointestinal disorders, is associated with impaired quality of life and a large economic burden. Studies estimate the prevalence of constipation in the general population to be 12–19% and up to 30–40% among people >65 years of age [1, 2]. The high rate of recurrence of constipation in the elderly can result in fecal impaction, stercoral ulcers, and volvulus . Constipation can be categorized as slow-transit constipation, normal-transit constipation, or obstructed defecation, with diagnoses occurring separately or in combination . Patients with severe slow-transit constipation have an increased risk of pelvic organ prolapse (POP) due to chronic straining. Prior to surgical correction of the prolapse, it is necessary to address the underlying risk factors, such as slow-transit constipation, often with a separate subtotal or total colectomy [4, 5, 6]. We report a case of a patient with a longstanding history of...
KeywordsSlow-transit constipation Rectocele Total abdominal colectomy Transvaginal posterior colporrhaphy
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Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
- 6.Yu S, Deng JZ, Peng X, et al. Comparison of laparoscopic subtotal colectomy with posterior vaginal suspension and laparoscopic subtotal colectomy with transvaginal repair for patients with slow-transit constipation complicated with rectocele: a non-randomized comparative study in a single center. Surg Endosc. 2016;30:2759–65.CrossRefGoogle Scholar