Erschienen in:
01.11.2003 | Letter to the editor
Slow-transit constipation after radical hysterectomy type III
verfasst von:
W. C. Cirocco
Erschienen in:
Surgical Endoscopy
|
Ausgabe 11/2003
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Excerpt
I was interested in the proposed surgical procedure to prevent early postoperative constipation after hysterectomy described by Possover and Schneider in their recent article in the Journal [
3]. The authors claim that “during defecation, the intraabdominal pressure compresses the rectosigmoid and the bowel lumen is obstructed,” but they offer no proof to substantiate this claim (e.g., cinedefecography). They go on to propose a method for the “prevention of outlet constipation,” arguing that the “surgical management of outlet constipation restores traction on the terminal rectum which can be achieved by rectopexy [
1] or sigmoid resection-reanastomosis” [
2]. The authors cite studies by Berman et al. (transabdominal rectopexy to treat rectal prolapse) [
1] and Lubowski et al. (colectomy as treatment for severe colonic inertia) [
2] as their inspiration; however, these studies have nothing to do with the treatment of women who suffer from early postoperative constipation after radical hysterectomy. …
