Tailored prolapse surgery for the treatment of haemorrhoids and obstructed defecation syndrome with a new dedicated device: TST STARR Plus
| Autor: | Claudia Menconi, Angelo Caviglia, Jacopo Martellucci, Michele Schiano di Visconte, Roberto Rea, Ping He, Domenico Mascagni, Stefano Lucchini, Donglin Ren, Gabriele Naldini |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Operative Time Anal Canal Pain Dehiscence Hemorrhoids Stapled Transanal Rectal Resection Patient satisfaction Prolapse Surgical Stapling medicine Humans Defecation Hemostatic Techniques business.industry Prolapse surgery General surgery Gastroenterology Syndrome Perioperative Length of Stay Surgery Rectal Diseases Patient Satisfaction Stapled hemorrhoidopexy Feasibility Studies Operative time Female Obstructed defecation medicine.symptom business Constipation Intestinal Obstruction |
| Zdroj: | International Journal of Colorectal Disease. 29:623-629 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-014-1845-7 |
| Popis: | The aim of the study was to assess the safety, efficacy and feasibility of stapled transanal procedures performed by a new dedicated device, TST STARR Plus, for tailored transanal stapled surgery. All the consecutive patients admitted to eight referral centres affected by prolapses with III-IV degrees haemorrhoids or obstructed defecation syndrome (ODS) with rectocele and/or rectal intussusception that underwent stapled transanal resection with TST STARR plus were included in the present study. Haemostatic stitches for bleeding of the suture line, specimen volume, operative time, hospital stay and perioperative complications were recorded. From 1 November 2012 to 31 March 2013, 160 consecutive patients (96 females) were enrolled in the study. In 94 patients, the prolapse was over the half of the circular anal dilator (CAD). The mean duration of the procedure was 25 min. The mean resected volume of the specimen was 13.3 cm3, the mean hospital stay was 2.2 days. In 88 patients (55 %), additional stitches on the suture line were needed (mean 2.1). Suture line dehiscence was reported in four cases, with intraoperative reinforcement. Bleeding was reported in seven patients (5 %). Urgency after 30 days was reported in one patient. No major complication occurred. The new device seems to be safe and effective for a tailored approach to anorectal prolapse due to haemorrhoids or obstructed defecation. |
| Databáze: | OpenAIRE |
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