0000000000967832

AUTHOR

E. Novelli

showing 2 related works from this author

Altemeier's procedure for complete rectal prolapse; outcome and function in 43 consecutive female patients.

2019

Background The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier’s rectosigmoidectomy for complete rectal prolapse in a referral center for pelvic floor functional disorders. Methods Peri-operative data on 43 consecutive female patients were reviewed. At follow-up any change in pelvic floor function and recurrences were determined. Thirty four patients were assessed at a median interval of 49 (2–135) months, six being deceased for reason not related to the prolapse and three lost to follow-up. Results Post-operative complications at 30 days occurred in 18 patients (38%). Major complication occurred i…

medicine.medical_specialtymedicine.medical_treatmentPelvic floor disorderslcsh:SurgeryUrinary incontinenceUrinary incontinence03 medical and health sciences0302 clinical medicinePatient satisfactionPostoperative Complicationsrectal prolapse; Altemeier procedure; perineal rectal resection; pelvic floor disorders; pelvic organ prolapse; fecal incontinence; urinary incontinenceRecurrenceFecal incontinenceMedicineFecal incontinenceHumansPostoperative PeriodDigestive System Surgical ProceduresAgedRetrospective StudiesRectal prolapseAged 80 and overHysterectomyPelvic floorbusiness.industryUrinary retentionRetrospective cohort studylcsh:RD1-811General MedicinePelvic Floormedicine.diseaseSurgeryPelvic organ prolapseRectal prolapse Altemeier procedure Perineal rectal resection Pelvic floor disorders Pelvic organ prolapse Fecal incontinence Urinary incontinenceRectal prolapsemedicine.anatomical_structureTreatment OutcomePatient Satisfaction030220 oncology & carcinogenesis030211 gastroenterology & hepatologySurgeryPerineal rectal resectionFemalemedicine.symptombusinessConstipationAltemeier procedureResearch Article
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Use of the Martius advancement flap for low rectovaginal fistulas

2019

Aim: The percentage recurrence after any surgical treatment for low rectovaginal fistula (LRVF) is unacceptably high. The aim of this study was to evaluate the short- and long-term results of the Martius procedure in a carefully selected series of patients with a LRVF of at least 1 cm diameter who had had at least two previous surgeries or in the presence of chronically inflamed local tissues. Method: Between January 2009 and April 2017, 24 patients with the abovementioned features were prospectively included in this study. Success was defined both as the absence of any subjective symptoms and the fistula, as confirmed by evaluation under anaesthesia. Postoperative complications were assess…

Adultmedicine.medical_specialtyUnder anaesthesiaFistulaOperative Timequality of sexual lifeSurgical Flaps03 medical and health sciencesPostoperative Complications0302 clinical medicineQuality of lifeRecurrencemartius flapmedicineHumansdiversion stomaMajor complicationSurgical treatmentdiversion stoma; low rectovaginal fistulas; martius flap; quality of life; quality of sexual life; recurrent rectovaginal fistulasLow rectovaginal fistulabusiness.industryrecurrent rectovaginal fistulasRectovaginal FistulaGastroenterologyLength of StayMiddle Agedmedicine.diseaseSurgerySexual Dysfunction PhysiologicalTreatment OutcomeUrinary Incontinencequality of lifeRectovaginal fistula030220 oncology & carcinogenesisFemale sexual functionSexual lifeFemale030211 gastroenterology & hepatologylow rectovaginal fistulasbusiness
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