Examinando por Autor "González, Marcelo Rodríguez"

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    Surgical Outcomes in Rectal Prolapse: 17-year experience in a private health center in Chile
    (Revista de Cirugia, Volume 77, Issue 1, Pages 6 - 112025, 2025) Gilardoni, Florencia Pinto; Vallejos, Alejandro Readi; Núñez, Sebastián Andrés López; González, Marcelo Rodríguez; Villegas, Gonzalo Campaña
    Objective: To describe and evaluate risk factors for recurrence in patients operated on for rectal prolapse. Materials and Methods: Retrospective observational study. Clinical-demographic variables, preoperative study, surgical and postoperative clinical results were analyzed. Results: Twenty-eight patients were analyzed. Female sex predominated in 89,2% with a median age of 56,5 years (range 15-93). External prolapse was present in 64,2%. The surgical indication in patients with internal prolapse was solitary rectal ulcer and defecatory obstruction syndrome. Twenty-four abdominal (85.7%) and four perineal (14.3%) approaches were performed. Only one Clavien Dindo III complication was reported and there was no mortality. Constipation improved in 78.5%. There were 4 (14.2%) patients with recurrence, but no significant risk factors were found. When comparing the techniques with abdominal and perineal approach, there were significant differences in age (52.8 vs. 89.7 p0.0006) and ASA (p0.0113). The mean follow-up was 22.3 months. Discussion: The literature does not show clarity regarding risk factors for recurrence. Our data show a certain tendency to a higher risk in those patients with preoperative incontinence, presence of rectocele or enterocele and parity greater than 2, although without significance. When comparing abdominal and perineal techniques, there was less recurrence in abdominal techniques, without significance (p = 0.481). Conclusion: Rectal prolapse surgery is safe, has a low complication rate and high rate of improvement of preoperative constipation. No risk factors for recurrence were found. © 2025, Sociedad de Cirujanos de Chile. All rights reserved