Evaluation of the Stapled Transanal Rectal Resection Technique with Two Staplers in the Treatment of Obstructive Defecation Syndrome

Arroyo, Antonio; Pérez-Vicente, Francisco; Serrano, Pilar; Sánchez, Ana; Miranda, Elena; Navarro, José-Manuel; Candela, Fernando; Calpena, Rafael

doi:10.1016/j.jamcollsurg.2006.09.017

Cited by 64 publications

(56 citation statements)

References 31 publications

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“…The few observed complications (2/23; 8.7%) were easily treated during hospitalization. In the literature, minor complications have been reported for stapled transanal resection (3,7) . In this respect, our results compare favorably to those of other series (21) .…”

Section: Discussionmentioning

confidence: 99%

Management of patients with rectocele, multiple pelvic floor dysfunctions and obstructed defecation syndrome

Murad-Regadas

Regadas

Rodrigues

et al. 2012

Arq. Gastroenterol.

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-Context -Management of patients with obstructed defecation syndrome is still controversial. Objective -To analyze the efficacy of clinical, clinical treatment followed by biofeedback, and surgical treatment in patients with obstructed defecation, rectocele and multiple dysfunctions evaluated with echodefecography. Methods -The study included 103 females aged 26-84 years with obstructed defecation, grade-II/III rectocele and multiple dysfunctions on echodefecography. Patients were distributed into three treatment groups and constipation scores were assigned. Group I: 34 (33%) patients with significant improvement of symptoms through clinical management only. Group II: 14 (14%) with improvement through clinical treatment plus biofeedback. Group III: 55 (53%) referred to surgery due to treatment failure. Results -Group I: 20 (59%) patients had grade-II rectocele, 14 (41%) grade-III. Obstructed defecation syndrome was associated with intussusception (41%), mucosal prolapse (41%), anismus (29%), enterocele (9%) or 2 dysfunctions (23%). The average constipation score decreased significantly from 11 to 5. Group II: 11 (79%) grade-II rectocele, 3 (21%) grade-III, associa ted with intussusception (7%), mucosal prolapse (43%), anismus (71%) or 2 dysfunctions (29%). There was significant decrease in constipation score from 13 to 6. Group III: 8 (15%) grade-II rectocele, 47 (85%) grade-III, associated with intussusception (42%), mucosal prolapse (40%) or 2 dysfunctions (32%). The constipation score remained unchanged despite clinical treatment and biofeedback. Twenty-three underwent surgery had a significantly decrease in constipation score from 12 to 4. The remaining 32 (31%) patients which 22 refused surgery, 6 had low anal pressure and 4 had slow transit. Conclusions -Approximately 50% of patients with obstructed defecation, rectocele and multiple dysfunctions presented a satisfactory response to clinical treatment and/or biofeedback. Surgical repair was mainly required in patients with grade-III rectocele whose constipation scores remained high despite all efforts. HEADINGS -Rectocele. Constipation. Pelvic floor. Imaging, three-dimensional.None disclosure.

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Section: Discussionmentioning

confidence: 99%

Management of patients with rectocele, multiple pelvic floor dysfunctions and obstructed defecation syndrome

Murad-Regadas

Regadas

Rodrigues

et al. 2012

Arq. Gastroenterol.

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“…[2][3][4][5] Moreover, a recently performed Cochrane revision 6 reported that SH is associated with a higher long-term risk of recurrence and proposed that, rather than simply offering this procedure to all patients with hemorrhoids, there might be a subset of patients for whom SH would be more beneficial. In our previous experience, [7][8][9][10][11][12] we observed that fecal incontinence, anal pain, and rectal bleeding improved with the development of the new PPH33-03 stapler, the greater experience of the surgeon after completion of the learning curve for the surgical technique, and the selection of patients for the performance of this procedure.…”

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confidence: 99%

Long-term Clinical Results of Double-pursestring Stapled Hemorrhoidopexy in a Selected Group of Patients for the Treatment of Chronic Hemorrhoids

Arroyo

Pérez-Legaz²,

Miranda³

et al. 2011

Diseases of the Colon &Amp; Rectum

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“…9 The technique of stapled transanal rectal resection (STARR) has been recommended as a simple, effective, and safe surgical option for the treatment of rectocele and anorectal intussusception causing obstructed defecation. 9, 10 We report the immediate outcomes (operative incidents, immediate postoperative complications, and patient recovery) and intermediate outcomes (intermediate complications, resolution or persistence of symptoms, and patient satisfaction) of a large series of consecutive patients under continued follow-up who have undergone STARR.…”

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confidence: 99%

Stapled Transanal Rectal Resection for Obstructed Defecation: A Cautionary Tale

Titu

Riyad

Carter

et al. 2009

Diseases of the Colon &Amp; Rectum

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Evaluation of the Stapled Transanal Rectal Resection Technique with Two Staplers in the Treatment of Obstructive Defecation Syndrome

Cited by 64 publications

References 31 publications

Management of patients with rectocele, multiple pelvic floor dysfunctions and obstructed defecation syndrome

Management of patients with rectocele, multiple pelvic floor dysfunctions and obstructed defecation syndrome

Long-term Clinical Results of Double-pursestring Stapled Hemorrhoidopexy in a Selected Group of Patients for the Treatment of Chronic Hemorrhoids

Stapled Transanal Rectal Resection for Obstructed Defecation: A Cautionary Tale

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