{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:50:48Z","timestamp":1771037448355,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2010,1,12]],"date-time":"2010-01-12T00:00:00Z","timestamp":1263254400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,1,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This study evaluated continence, constipation and quality of life before and after perineal rectosigmoidectomy for full-thickness rectal prolapse.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Consecutive patients with full-thickness rectal prolapse undergoing perineal rectosigmoid- ectomy (Altemeier's procedure) between May 2004 and June 2008 were studied. A standardized questionnaire, including the Cleveland Clinic Constipation Score (CCCS), Cleveland Clinic Incontinence Score (CCIS) and quality of life scores (EuroQol\u2014Five Dimensions, EuroQol\u2014Visual Analogue Scale and Patient Assessment of Constipation\u2014Quality of Life (PAC-QOL)), was administered before and after operation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirty-eight patients (32 women) of mean(s.d.) age 75(13) years underwent rectosigmoid- ectomy. Seven patients developed postoperative complications and one died. There was one recurrence 5 months after surgery. Twenty-nine patients completed the follow-up questionnaire and were reviewed after a median of 24 (range 6\u201348) months. Constipation and incontinence were significantly improved after surgery (mean CCCS from 10\u00b721 to 3\u00b758 and CCIS from 14\u00b717 to 11\u00b742; P &amp;lt; 0\u00b7001). Quality of life, in terms of mobility, usual activities, pain\/discomfort and anxiety\/depression, were significantly better at follow-up (P &amp;lt; 0\u00b7001), as was subjective health status (P &amp;lt; 0\u00b7001). The PAC-QOL score improved significantly in all dimensions (P &amp;lt; 0\u00b7001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Transperineal rectosigmoidectomy improves general and constipation-related quality of life with good functional results.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6813","type":"journal-article","created":{"date-parts":[[2009,12,24]],"date-time":"2009-12-24T10:24:09Z","timestamp":1261650249000},"page":"269-272","source":"Crossref","is-referenced-by-count":38,"title":["Quality of life after transperineal rectosigmoidectomy"],"prefix":"10.1093","volume":"97","author":[{"given":"M","family":"Kim","sequence":"first","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery, University Hospital Wuerzburg , Wuerzburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Reibetanz","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery, University Hospital Wuerzburg , Wuerzburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Boenicke","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery, University Hospital Wuerzburg , Wuerzburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C-T","family":"Germer","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery, University Hospital Wuerzburg , Wuerzburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Jayne","sequence":"additional","affiliation":[{"name":"Academic Surgical Unit, St James's University Hospital , Leeds,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Isbert","sequence":"additional","affiliation":[{"name":"Department of General, Gastrointestinal, Vascular and Paediatric Surgery, University Hospital Wuerzburg , Wuerzburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2010,2,1]]},"reference":[{"key":"2024093006442508700_bib1","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1007\/s11605-008-0531-x","article-title":"Recurrence and quality of life following perineal proctectomy for rectal prolapse","volume":"12","author":"Glasgow","year":"2008","journal-title":"J Gastrointest Surg"},{"issue":"4","key":"2024093006442508700_bib2","first-page":"CD001758","article-title":"Surgery for complete rectal prolapse in adults","author":"Tou","year":"2008","journal-title":"Cochrane Database Syst 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