Constipation: Medical and Surgical Treatment

2018 ◽  
Author(s):  
Charles H Knowles
Keyword(s):  
Pelvic Floor ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Radical Surgery ◽  
Rectal Resection ◽  
Benefit Analysis ◽  
Rectal Excision ◽  
Stapled Transanal Rectal Resection ◽  
Slow Transit ◽  
Risk Benefit Analysis

This review follows the general review entitled “Constipation,” which introduced the definition, classification, epidemiology, etiology, clinical evaluation, and investigation of constipation. This review addresses the medical and surgical management of constipation with a focus on surgical management. The latter is a subject of much controversy, and this review aims to provide a balanced view between those who favor radical surgery for the colon (colectomy) and rectum/pelvic floor (forms of rectopexy, rectal excision, and reinforcement) and those who have concerns that the unpredictable outcomes of such procedures push the risk–benefit analysis against surgical intervention for most patients. This review contains 5 figures, 2 tables and 80 references Key Words: chronic constipation, colectomy, constipation, ileorectal, intussusception, pelvic floor, rectocele, rectocele repair, rectopexy, slow-transit, stapled transanal rectal resection

Comparison of pre and post-operative ODS (Obstructed Defecation Syndrome) score in patient with ODS undergoing Stapled Transanal Rectal Resection (STARR)

2020 ◽  
Vol 23 (2) ◽  
pp. 67-70
Author(s):  
Md Touhidul Islam ◽  
Shahadat Hossain Sheikh ◽  
Md Abu Taher ◽  
Tariq Akhter Khan ◽  
Md Ahsan Habib ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Rectal Resection ◽  
Obstructed Defecation ◽  
Surgical Approaches ◽  
Rectal Intussusception ◽  
Complication Rates ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome ◽  
Quasi Experimental ◽  
Surgery Department

Background: There are a variety of surgical approaches for correction of ODS, most of these have high recurrence and complication rates. Stapled transanal rectal resection (STARR) was introduced in 2003 by Antonio Longo as a minimally invasive transanal operation for ODS associated with rectocele and or rectal intussusception. Objective: This study was designed to assess the efficacy of Stapled Transanal Rectal Resection (STARR) as a surgical treatment of Obstructed Defecation Syndrome(ODS). Methodology: This is a quasi experimental study that was carried out at Colorectal surgery unit of surgery department in Bangabandhu Sheikh Mujib Medical University. The sample size was 17. The admitted patient of Obstructed Defecation Syndrome with Rectocele and or Rectal intussusception was selected according to inclusion and exclusion criteria. The patient was evaluated by history, clinical examination, proctoscopy, colonoscopy and defecography. Preoperative Longo’s ODS score was determined for each patient and it was compared with postoperative ODS score. Regular follow up was done for each patient at one, three and six months after each operation. Results: Significant improvement of ODS score was observed in 82.35% patients. Only 02 (11.8%) patients didn’t respond to STARR procedure and their postoperative score was 13-15 may be due to coexistence of pelvic floor dysynergy. Postoperative defecatory urgency developed only in 02(11.76%) patients. No patient developed significant postoperative complication like hemorrhage or rectovaginal fistula. Conclusion: STARR is a simple, less invasive and effective procedure for the treatment of ODS due to rectocele and/or rectal intussusception without major morbidity but pelvic floor dyssynergy should be excluded preoperatively because it’s presence makes the surgical intervention fruitless. Journal of Surgical Sciences (2019) Vol. 23(2): 67-70

Stapled Transanal Rectal Resection (Starr) to Reverse the Anatomic Disorders of Pelvic Floor Dyssynergia

2007 ◽  
Vol 31 (6) ◽  
pp. 1331-1337 ◽  
Author(s):  
George Pechlivanides ◽  
John Tsiaoussis ◽  
Elias Athanasakis ◽  
Nikolaos Zervakis ◽  
Nikolaos Gouvas ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Rectal Resection ◽  
Stapled Transanal Rectal Resection ◽  
Pelvic Floor Dyssynergia

scholarly journals Early radical cystectomy with negative margins in a 57-year-old female with myxoid/round cell liposarcoma of the bladder suggests prolonged overall survival

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Johannes Eduard Delport ◽  
Khanyisa Makamba
Keyword(s):  
Overall Survival ◽  
Surgical Intervention ◽  
Radical Surgery ◽  
Bladder Tumour ◽  
Eastern Cape ◽  
Round Cell ◽  
Female Population ◽  
Case Presentation ◽  
Rural Town ◽  
Common Cancer

Abstract Background Bladder cancer is the 17th most common cancer in the female population. Most bladder cancers are of urothelial origin. Sarcomas of the bladder are very uncommon. Case presentation This case concerns a 57-year-old female from a rural town in the Eastern Cape who was diagnosed with myxoid/round cell liposarcoma of the bladder. After the initial transurethral resection of the bladder tumour, she underwent an anterior exenteration with Bricker’s diversion (ileal conduit) and negative margins were achieved. Conclusions Sarcomas of the bladder are known to have a poor prognosis. Our patient is alive with good stoma function more than 24 months since her radical surgery. We are of the opinion that her favourable overall survival is attributable to early radical surgical intervention with negative margins.

Rectovaginal Fistula: A New Approach By Stapled Transanal Rectal Resection

2007 ◽  
Vol 12 (3) ◽  
pp. 601-603 ◽  
Author(s):  
Giovanni Li Destri ◽  
Beniamino Scilletta ◽  
Tiziana Grazia Tomaselli ◽  
Giuseppe Zarbo
Keyword(s):  
Rectovaginal Fistula ◽  
Rectal Resection ◽  
New Approach ◽  
Stapled Transanal Rectal Resection

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

scholarly journals Cost risk benefit analysis to support chemoprophylaxis policy for travellers to malaria endemic countries

2011 ◽  
Vol 10 (1) ◽  
Author(s):  
Eduardo Massad ◽  
Ben C Behrens ◽  
Francisco AB Coutinho ◽  
Ronald H Behrens
Keyword(s):  
Benefit Analysis ◽  
Risk Benefit Analysis ◽  
Cost Risk

Stapled Transanal Rectal Resection for Outlet Obstruction Syndrome: Results and Follow-up

2008 ◽  
Vol 32 (6) ◽  
pp. 1110-1115 ◽  
Author(s):  
Marco Frascio ◽  
Cesare Stabilini ◽  
Barbara Ricci ◽  
Paolo Marino ◽  
Rosario Fornaro ◽  
...  
Keyword(s):  
Rectal Resection ◽  
Outlet Obstruction ◽  
Stapled Transanal Rectal Resection
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