Functional Outcome and Quality of Life After Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

Abstract

Despite the described postoperative symptoms, most of which can be treated conservatively, the Transtar procedure is an effective treatment for patients with obstructive defecation syndrome and improves quality of life significantly.

Stapled Transanal Rectal Resection With Contour Transtar for Obstructed Defecation Syndrome

“…It is then possible to perform a truly tailored surgery. [20][21][22][23][24] The results of our experience confirm the validity of this technique regarding the reduction of obstructive symptoms as evaluated by CSS, with a statistically relevant reduction in postoperative values after 6 months to the intervention. These good results were also confirmed by the significant decrease in the use of evacuation aids, such as laxatives, enemas, and digitations, as a consequence of the improvement of defecation because of the resolution of the anatomical obstruction.…”

“…[20][21][22][23][24] This stapler is very ergonomic because of its crescent-shaped and curved profile, allowing the surgeon to perform the transanal resection with direct visualization. Unlike the previous technique, which involved the use of 2 circular staplers, it is now possible for the surgeon to select the amount of tissue to be resected for each patient, without being limited by the capacity of the stapling case.…”

Long-term Outcome After Transanal Rectal Resection in Patients With Obstructed Defecation Syndrome

“…11,12 for preoperative scores, all data were collected from the patient records. the functional scores and lifestyle scores had been routinely collected prospectively for most patients (n = 56) for a different study; 13 for the remaining patients, functional scores were calculated from the records, but no preoperative quality-of-life data were available.…”

Relief of Obstructed Defecation Syndrome after Stapled Transanal Rectal Resection (STARR): a Meta-analysis

“…Fifteen studies have used the Cleveland Constipation Score (CCS) (17, 18, 21, 28, 39-41, 43, 45, 46, 48-50, 53, 54). Altomare-score, Longo-score, and the obstructed defecation syndrome-score (ODS-score), or a self-reported or modified ODS-score (S-ODS or M-ODS) were also used in three (23,38,46) seven (39,40,43,46,47,52,53) and eight studies (24,26,30,37,42,49,50,51) respectively (Table 3). An overview of the instruments (scoring system) is presented in Table 2.…”