Patient Selection for Stapled Hemorrhoidopexy and STARR

Schwandner, O.; Scherer, Roland

doi:10.1007/978-1-84800-905-9_6

Cited by 3 publications

(1 citation statement)

References 52 publications

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“…It is important to detect enterocele because many authors consider it to be a contraindication for STARR surgery as there is a risk of injury to the low-placed small bowel by the stapler as it draws in the rectal wall. [ 8 ]…”

Section: Enterocelesmentioning

confidence: 99%

MR defecography for obstructed defecation syndrome

Thapar¹,

Patankar²,

Kamat³

et al. 2015

Indian Journal of Radiology and Imaging

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Patients with obstructed defecation syndrome (ODS) form an important subset of patients with chronic constipation. Evaluation and treatment of these patients has traditionally been difficult. Magnetic resonance defecography (MRD) is a very useful tool for the evaluation of these patients. We evaluated the scans and records of 192 consecutive patients who underwent MRD at our center between January 2011 and January 2012. Abnormal descent, rectoceles, rectorectal intussusceptions, enteroceles, and spastic perineum were observed in a large number of these patients, usually in various combinations. We discuss the technique, its advantages and limitations, and the normal findings and various pathologies.

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Section: Enterocelesmentioning

confidence: 99%

MR defecography for obstructed defecation syndrome

Thapar¹,

Patankar²,

Kamat³

et al. 2015

Indian Journal of Radiology and Imaging

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Indikation, Technik und Ergebnisse der STARR-Operation

Schwandner

Hillemanns

2017

coloproctology

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Indikation, Technik und Ergebnisse der STARR-Operation

Schwandner

Hillemanns

2016

Chirurg

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Rectal intussusception and ventral rectocele are frequent morphological findings in patients suffering from obstructed defecation syndrome (ODS). After failed conservative treatment a surgical option can be discussed. Surgical approaches include the stapled transanal rectal resection (STARR) procedure, which is performed as a transanal approach by using two circular (PPH01) staplers for ventral and dorsal full-thickness resection of the distal rectum. Both retrospective and prospective studies as well as data from the German STARR registry demonstrated that the STARR procedure is safe and effective for symptom improvement and resolution in ODS associated with rectal intussusception in the short-term; however, disappointing functional results, particularly related to fecal incontinence and urgency, severe complications and high rates of revision surgery have also been documented. In general, based on the diagnostic and therapeutic challenges in ODS related to rectal intussusception, patient selection for STARR seems to be the key for success; therefore, this review summarizes and evaluates the indications, surgical technique, results, controversies and current trends of the "conventional" STARR procedure using two circular (PPH01) staplers.

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Patient Selection for Stapled Hemorrhoidopexy and STARR

Cited by 3 publications

References 52 publications

MR defecography for obstructed defecation syndrome

MR defecography for obstructed defecation syndrome

Indikation, Technik und Ergebnisse der STARR-Operation

Indikation, Technik und Ergebnisse der STARR-Operation

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