| Comparative study of Contour Transtar and STARR procedure for the treatment of obstructed defecation syndrome (ODS)--feasibility, morbidity and early functional results. | |
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MedLine Citation:
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PMID: 19438882 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: Stapled transanal rectal resection (STARR) is a promising new treatment for obstructed defecation syndrome (ODS). It may be performed using either a double-stapling technique (PPH-STARR) or with the new Contour Transtar (CT) device. The aim of this study was to evaluate the two techniques with respect to morbidity and functional outcomes. METHOD: Patients presenting with ODS were evaluated using standardized clinical and radiological investigations and prospectively entered into a database. A total of 150 Patients were treated with either PPH-STARR (n = 68) or CT (n = 82) and further evaluated at 12 month postoperatively. RESULTS: The mean size of the resected specimen was 27 cm(2) (SD +/-4.86 cm(2)) in the PPH-STARR group and 46 cm(2) (SD +/-10.6 cm(2)) in the CT group [P < 0.001]. Morbidity was 7.3% (n = 5) in the PPH-STARR group and 7.5% (n = 6) in the CT group. The most common complication was minor postoperative bleeding in both groups (PPH-STARR: n = 2, 2.9%; CT: n = 2, 2.4%) Overall there were no septic complications and no surgical re-interventions. There was a tendency for more postoperative pain following CT (n = 3, 3.6%) as compared with PPH-STARR (n = 1, 1.4%). Constipation Scores (CCS) were 15.50 +/- 5.71 in the PPH-STARR group and 15.70 +/- 5.84 in the CT group preoperatively and decreased significantly to 8.25 (SD +/-1.45) and 8.01 (SD +/-2.31) 12-months after surgery. Values did not differ significantly between the two groups. CONCLUSIONS: Contour Transtar is as safe and effective as PPH-STARR and provides a true circumferential resection of rectal intussusception. This may benefit selected patients and result in improved long-term durability of the technique. |
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Authors:
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C Isbert; J Reibetanz; D G Jayne; M Kim; C-T Germer; L Boenicke |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-04-29 |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 12 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-19 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
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Languages: eng Pagination: 901-8 Citation Subset: IM |
Affiliation:
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Department of General, Visceral, Vascular & Paediatric Surgery, University Hospital Wuerzburg, Germany. isbert_c@chirurgie.uni-wuerzburg.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cystocele / complications Feasibility Studies Female Follow-Up Studies Humans Intestinal Obstruction / etiology, surgery* Intussusception / complications, surgery* Middle Aged Recovery of Function* Rectal Diseases / complications, surgery* Rectocele / complications Surgical Staplers* Surgical Stapling / adverse effects, methods* Syndrome |
| Comments/Corrections | |
Comment In:
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Colorectal Dis. 2010 Dec;12(12):1274-5
[PMID:
20955510
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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