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

Autor: Fabrizio Lazzara, Francesca Mandolfino, Rosario Fornaro, Barbara Ricci, Paolo Marino, Cesare Stabilini, Marco Frascio, Ezio Gianetta, Luigi De Salvo
Rok vydání: 2008
Předmět:
Zdroj: World Journal of Surgery. 32:1110-1115
ISSN: 1432-2323
0364-2313
DOI: 10.1007/s00268-008-9540-x
Popis: The objective of the present study was to assess safety, effectiveness, and long-term outcomes of stapled transanal rectal resection (STARR) for the cure of outlet obstruction syndrome (OOS). Data were collected over a 3-year period (2004–2007), at the Department of Surgery of the University of Genoa, from 25 consecutive subjects (19 of them females) undergoing STARR because of OOS that had not responded to medical treatment,. Preoperatively, patients were submitted to clinical examination, defecography, colonoscopy, manometry, and recto-anal reflexes determination. All patients had mucosal prolapse, 15 rectal intussusception, 15 rectocele. Postoperatively no deaths were observed; one patient had a hemorrhage requiring reintervention. Mean time to resumption of normal activity was 8.5 ± 4.5 days. Patients were followed for a mean of 24.7 ± 10.9 months (range: 6–42 months). Late specific complications included 3 cases of urge to defecate, 8 of incontinence to flatus. Functional outcome was positive for 22 patients (excellent in 4 cases, good in 15, fairly good in 3). Six months postoperatively (25 s), patients had improvement of the mean Constipation Score (p = 0.0002), less pain during evacuation (p = 0.0003), and reduced use of digital assistance to defecate (p
Databáze: OpenAIRE
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