Clinical efficacy of integral theory–guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females

Table 1 Comparison of the general information between patients with internal rectal prolapse in groups A and B

		Group A (n = 63)	Group B (n = 67)	P value
Patient information	Age (yr)	50.46 ± 13.95	49.90 ± 14.25	0.820
	BMI (kg/m2)	24.70 ± 3.71	24.46 ± 3.24	0.700
Preoperative data	DIRP (cm)	3.41 ± 0.27	3.50 ± 0.33	0.093
	WCS (0-30)	8.41 ± 3.06	8.30 ± 3.20	0.853
	WIS (0-20)	8.75 ± 2.43	8.76 ± 2.28	0.962
	GIQLI (0-144)	100.90 ± 5.83	101.16 ± 6.13	0.796
	BM (number of times/d)	3.35 ± 1.15	3.49 ± 1.05	0.459
Intraoperative and postoperative data	Operating time (min)	40.35 ± 5.96	50.45 ± 6.52	< 0.001
	Intraoperative blood loss (mL)	4.63 ± 1.35	8.22 ± 3.67	< 0.001
	Time to first passage of feces/flatus (d)	2.22 ± 1.01	2.48 ± 0.98	0.144
	Length of hospital stay (d)	4.87 ± 1.20	5.58 ± 1.76	0.009
	Complications (Dindo > I) n (%)	7 (11.11%)	8 (11.94%)	0.882

BMI: Body mass index; DIRP: Degree of internal rectal prolapse; WCS: Wexner constipation scale; GIQLI: Gastrointestinal Quality of Life Index; WIS: Wexner incontinence scale.

Table 2 Preoperative and postoperative functional recovery (mean ± SD)

		Before surgery	6 mo after surgery	2 yr after surgery	P value (Bonferroni)
					Before surgery vs 6 mo after surgery	Before surgery vs 2 yr after surgery	6 mo after surgery vs 2 yr after surgery
Group A (63)	DIRP	3.41 ± 0.27	0.54 ± 0.56	0.75 ± 0.63	< 0.001	< 0.001	< 0.001
	WCS	8.41 ± 3.06	1.33 ± 1.00	2.41 ± 1.16	< 0.001	< 0.001	< 0.001
	WIS	8.75 ± 2.43	5.63 ± 1.80	5.33 ± 1.32	< 0.001	< 0.001	0.011
	GIQLI	100.90 ± 5.83	104.05 ± 5.88	103.06 ± 5.99	< 0.001	< 0.001	0.003
Group B (67)	DIRP	3.50 ± 0.33	0.18 ± 0.44	0.61 ± 0.72	< 0.001	< 0.001	< 0.001
	WCS	8.30 ± 3.20	0.51 ± 0.89	1.33 ± 1.11	< 0.001	< 0.001	< 0.001
	WIS	8.76 ± 2.28	3.58 ± 1.22	2.37 ± 0.89	< 0.001	< 0.001	< 0.001
	GIQLI	101.1 ± 6.13	109.67 ± 5.61	117.72 ± 15.29	< 0.001	< 0.001	< 0.001

DIRP: Degree of internal rectal prolapse; WCS: Wexner constipation scale; GIQLI: Gastrointestinal Quality of Life Index; WIS: Wexner incontinence scale.

Table 3 Comparison of postoperative functional recovery between the two groups (mean ± SD)

		Group A (n = 63)	Group B (n = 67)	P (time treatment)	P value (Bonferroni)
DIRP	6 mo after surgery	0.54 ± 0.56	0.18 ± 0.44	0.144	< 0.001
	2 yr after surgery	0.75 ± 0.63	0.61 ± 0.72		0.235
WCS	6 mo after surgery	1.33 ± 1.00	0.51 ± 0.89	0.284	< 0.001
	2 yr after surgery	2.41 ± 1.16	1.33 ± 1.11		< 0.001
WIS	6 mo after surgery	5.63 ± 1.80	3.58 ± 1.22	0.004	< 0.001
	2 yr after surgery	5.33 ± 1.32	2.37 ± 0.89		< 0.001
GIQLI	6 mo after surgery	104.05 ± 5.88	109.67 ± 5.61	< 0.001	< 0.001
	2 yr after surgery	103.06 ± 5.99	117.72 ± 15.29		< 0.001
Postoperative recurrence	6 mo after surgery	6 (9.5%)	0		0.011
	2 yr after surgery	13 (20.63%)	8 (11.94%)		0.178

DIRP: Degree of internal rectal prolapse; WCS: Wexner constipation scale; GIQLI: Gastrointestinal Quality of Life Index; WIS: Wexner incontinence scale.