scholarly journals Stapled Transanal Rectal Resection for the Surgical Treatment of Obstructed Defecation Syndrome Associated with Rectocele and Rectal Intussusception

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Hesham M. Hasan ◽  
Hani M. Hasan
Keyword(s):  
Surgical Technique ◽  
Rectal Resection ◽  
Obstructed Defecation ◽  
Circular Stapler ◽  
Rectal Intussusception ◽  
Prospective Clinical Study ◽  
Safe Procedure ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome

Obstructed defecation syndrome (ODS) is one of the most widespread clinical problems which frequently affects middle-aged females. There is a new surgical technique called stapled transanal rectal resection (STARR) that makes it possible to remove the anorectal mucosa circumferential and reinforce the anterior anorectal junction wall with the use of a circular stapler. This surgical technique developed by Antonio Longo was proposed as an effective alternative for the treatment of ODS. In this study we present our preliminary results with the STARR operation for the treatment of ODS. For this purpose, 40 consecutive female patients with ODS due to rectal intussusception (RI) and/or rectocele (RE) were recruited in this prospective clinical study, from May 2008 to October 2010. No major operative or postoperative complications were recorded, and after 12-month follow-up, significant improvement in the ODS score system was observed, and the symptoms of constipation improved in 90% of patients; 20% of patients judged their final clinical outcome as excellent, 55% as good, and 15% as moderate, with only 10% having poor results. After analyzing our results we can conclude that STARR is an effective and safe procedure for the treatment of obstructed defecation syndrome due to rectal intussusception and/or rectocele and can be performed safely without major morbidity.

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

Quo Vadis STARR? A Prospective Long-Term Follow-Up of Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

2010 ◽  
Vol 14 (9) ◽  
pp. 1349-1354 ◽  
Author(s):  
Oliver Zehler ◽  
Yogesh K. Vashist ◽  
Dean Bogoevski ◽  
Maximillian Bockhorn ◽  
Emre F. Yekebas ◽  
...  
Keyword(s):  
Rectal Resection ◽  
Obstructed Defecation ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome ◽  
Long Term Follow Up ◽  
Quo Vadis

scholarly journals Stapled trans-anal rectal resection for the surgical management of obstructed defecation syndrome: our experience in Bangladesh

2020 ◽  
Vol 11 (1) ◽  
pp. 11-16
Author(s):  
Asif Almas Haque ◽  
Md Rajibul Haque Talukder ◽  
Hasina Alam
Keyword(s):  
Private Hospital ◽  
Operative Time ◽  
Rectal Resection ◽  
Obstructed Defecation ◽  
Symptomatic Improvement ◽  
Major Morbidity ◽  
Obstructed Defecation Syndrome ◽  
Structural Abnormalities ◽  
The Mean

Background: Obstructed defecation syndrome (ODS) is one of the commonest constipation related disorders confronted by surgeons in Bangladesh. Stapled transanal rectal resection (STARR) is a novel surgical technique specific for ODS. This study was designed to evaluate the effectiveness of STARR on patients with ODS in Bangladesh. Methods: Thirty (30) female patients (age: 46±13.2 years) with ODS, were selected for this observational study, from July 2016 to July 2019, in a private hospital of Dhaka. Patients were interviewed with standardized questionnaire at study enrolment and up to 3 months postoperatively. Surgical outcome was quantified according to the Longo’s Modified ODS score (MODS). Results: At initial consultation, the mean Longo’s MODS score was 17.6+1.9. Mean operative time was 39+6.2 minutes. Commonest complication was ‘staple line bleeding’ in 24(80%) patients intraoperatively & ‘defecatory urgency’ in 18(60 %) patients postoperatively. At postoperative 3-month follow-up, statistically significant (p<0.05) symptomatic improvement in Longo’s MODS score (6.9+2.5) was observed in 27(90%) patients. Ten (33.3%) of patients judged their final clinical outcome as ‘excellent’, 11(36.7%) as ‘good’, and 6(20%) as ‘moderate’, with 3(10%) having ‘poor/no improvement’. Conclusion: After analyzing our results, we conclude that STARR is an effective procedure for the treatment of ODS due to structural abnormalities and can be performed safely without any major morbidity. Birdem Med J 2021; 11(1): 11-16

Improvement in Outlet Obstructive Constipation Symptoms After Vaginal Stent Treatment for Rectocele

2020 ◽  
pp. 155335062097561
Author(s):  
Yitong Yin ◽  
Zhijun Xia ◽  
Meng Luan ◽  
Meiying Qin
Keyword(s):  
Side Effects ◽  
Obstructed Defecation ◽  
Safe Procedure ◽  
Rectal Balloon ◽  
Obstructed Defecation Syndrome ◽  
Incomplete Evacuation ◽  
Stent Treatment ◽  
Balloon Expulsion ◽  
Rectal Pressure

Objective. The objective is to determine the possible improvement in outlet obstructive constipation symptoms after vaginal stent treatment for rectocele. Methods. Female patients with rectocele (n = 156) accompanied with outlet obstructive constipation were selected in this study. Longo’s obstructed defecation syndrome (ODS) questionnaire, rectoanal pressures, and rectal balloon expulsion (BET) were evaluated at baseline, 1 month follow-up, and 6 months follow-up. Moreover, the side effects and the potential reasons for giving up treatment were also detected. Results. Vaginal stent significantly decreased the straining intensity, shortened the straining extensity time, decreased the use of laxatives, and alleviated the symptoms of incomplete evacuation ( P < .05). The vaginal stent also increased the rectal pressure and shortened the balloon expulsion time ( P < .05). Conclusions. As an effective, feasible, and safe procedure, the vaginal stent can be recommended as a treatment of choice for rectocele combined with outlet obstructive constipation.

Clinical and Morphologic Correlation after Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

2008 ◽  
Vol 51 (12) ◽  
pp. 1768-1774 ◽  
Author(s):  
Daniel Dindo ◽  
Dominik Weishaupt ◽  
Kuno Lehmann ◽  
Franc H. Hetzer ◽  
Pierre-Alain Clavien ◽  
...  
Keyword(s):  
Rectal Resection ◽  
Obstructed Defecation ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome ◽  
Morphologic Correlation

Correlation Between Outcome and Instrumental Findings After Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

2013 ◽  
Vol 21 (5) ◽  
pp. 469-475 ◽  
Author(s):  
Sonia Panicucci ◽  
Jacopo Martellucci ◽  
Claudia Menconi ◽  
Gianluca Toniolo ◽  
Gabriele Naldini
Keyword(s):  
Rectal Resection ◽  
Obstructed Defecation ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome
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