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Impact of Early Postoperative Treatment With Posterior Tibial Nerve Stimulation on the Incidence and Duration of Low Anterior Rectal Resection Syndrome

RecruitingNAAges 18 Years - anyAllInnovacion en Cirugía Vigo
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In plain words

What the trial is, and whether it could suit you

The treatment of rectal cancer is currently based on surgical resection of the rectum with total excision of the mesorectum, associated with neoadjuvant radiochemotherapy. Surgical resections with sphincter preservation are frequently (60% of cases) associated with problems related to intestinal and defecatory function, which together are called Anterior Resection Syndrome (ARS) with varying degrees of severity. Among the different treatments the investigators find posterior tibial nerve stimulation, a simple and non-invasive technique, which is currently used. The study aims to analyze whether postoperative posterior tibial nerve stimulation in patients undergoing low anterior resection of the rectum has an impact on the incidence and duration of low anterior resection syndrome (LARS) and therefore on the quality of life of patients undergoing this type of intervention. Therefore, t

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients undergoing elective surgery (scheduled, non-urgent) who underwent anterior rectal resection or transit reconstruction with low anastomosis (below 10 cm from the anal margin) at the Hospital Álvaro Cunqueiro in Vigo after the start date of the study. * Anastomotic tightness (absence of dehiscence). * Patients older than 18 years old. * Acceptance to participate in the study. Exclusion Criteria: * Inability to understand the study instructions and recommendations. * Dementia or any type of mental disability. * Palliative surgery. * Patients with pacemakers. * Anti-coagulated patients. * Patients with trophic lesions on the skin of the ankles.
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What it tests

  • Posterior tibial nerve stimulation (PTNS)
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Where

1 site
Hospital Álvaro Cunqueiro
Vigo, Spain
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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