Stapled trans-anal rectal resection (STARR) by a new dedicated device for the surgical treatment of obstructed defaecation syndrome caused by rectal intussusception and rectocele: early results of a multicenter prospective study

Renzi, Adolfo; Talento, Pasquale; Giardiello, Cristiano; Angelone, Giovanni; Izzo, Domenico; Sarno, Giandomenico Di

doi:10.1007/s00384-008-0522-0

Cited by 73 publications

(69 citation statements)

References 21 publications

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“…These findings reflect the goal of STARR-to restore the capacity and compliance of the rectum by resecting the prolapse and repairing the rectocele [3]. The results of the current study are comparable to those of other studies employing the Wexner constipation scoring system for pre-and post-STARR assessment of ODS symptomatology [15,16], see Table 5. The greatest improvements across all studies were in the components of incomplete evacuation and difficulty with or excessive straining.…”

Section: Discussionsupporting

confidence: 91%

Patient Satisfaction and Symptomatic Outcomes Following Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

Ragupathi¹,

Bhoot²,

Pickron³

et al. 2011

Journal of Surgical Research

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Section: Discussionsupporting

confidence: 91%

Patient Satisfaction and Symptomatic Outcomes Following Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

Ragupathi¹,

Bhoot²,

Pickron³

et al. 2011

Journal of Surgical Research

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“…4,5 A specifically designed stapler, the Contour30-Transtar has recently been introduced for STARR. 6 We have previously shown that Contour30-Transtar is as safe and effective as the double-stapling PPH-STARR technique and, in comparison, it allows the opportunity to resect almost twice the amount of tissue. This may be of benefit in patients with large rectal prolapse and may help to maintain long-term efficacy.…”

Section: Resultsmentioning

confidence: 99%

What Happens in Stapled Transanal Rectum Resection?

Boenicke

Jayne

Kim

et al. 2011

Diseases of the Colon &Amp; Rectum

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Improved constipation after stapled transanal rectum resection is associated with improvement of intussusception, rectocele, and dynamic pelvic floor descent. Postoperative continence is determined by 2 parameters, reduction of intussusception and rectal lumen size, which have opposing effects. Reduction of rectal lumen size may be responsible for new-onset fecal urgency, which is occasionally seen after stapled transanal rectum resection.

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“…A new dedicated device, the Contour Transtar stapler (STR5G; Ethicon Endo-Surgery, Cincinnati, Ohio, USA), was introduced for the treatment of obstructed defecation syndrome caused by rectal intussusception and rectocele [8]. …”

Section: Discussionmentioning

confidence: 99%

Perineal Stapled Prolapse Resection for Complete External Rectal Prolapse: Preliminary Experience and Literature Review

Mistrangelo

Tonello²,

Allaix³

et al. 2012

Dig Surg

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Purpose: Perineal stapled prolapse resection (PSP) for external rectal prolapse is a new surgical technique. Methods: Between April 2009 and January 2011, 5 female patients (mean age, 67 years; range, 53–76) underwent PSP for full-thickness external rectal prolapse. Patients were placed in a slight Trendelenburg position to free the pouch of Douglas from any deep enterocele. Laparoscopic control of the PSP procedure was performed to avoid injury to the bowel in one patient with anorexia. The prolapse was completely resected continuously counterclockwise using a curved Contour® Transtar™ stapler placed parallel to the dentate line. After completion of resection, the neorectum fell back into place spontaneously. Results: Mean operating time was 56 min (range, 40–90). No intraoperative or postoperative complications occurred. No recurrence appeared. The mean hospital stay was 4 days (range, 3–6); the mean follow-up was 6.5 months (range, 2–15). The mean Wexner fecal incontinence score was 9.2 before and 4.6 at 3 months after surgery (p = 0.010); the mean obstructed defecation syndrome score decreased from 16 to 4.75 (p < 0.001). Conclusions: PSP is an easy, fast and safe procedure. Early functional results are good. Long-term results and recurrence rates need to be investigated further.

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Stapled trans-anal rectal resection (STARR) by a new dedicated device for the surgical treatment of obstructed defaecation syndrome caused by rectal intussusception and rectocele: early results of a multicenter prospective study

Abstract: STARR, performed by the new dedicated device, CCS-30 Contour Transtar, seems to be an effective and safe procedure to treat ODS caused by RE and/or RI. A longer follow-up and a larger number of patients is needed to confirm these results.

Cited by 73 publications

References 21 publications

Patient Satisfaction and Symptomatic Outcomes Following Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

Patient Satisfaction and Symptomatic Outcomes Following Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

What Happens in Stapled Transanal Rectum Resection?

Perineal Stapled Prolapse Resection for Complete External Rectal Prolapse: Preliminary Experience and Literature Review

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