Document Detail

Prospective multicentre clinical trial of stapled transanal rectal resection for obstructive defaecation syndrome.
MedLine Citation:
PMID:  18942056     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: This prospective multicentre study assessed the safety and effectiveness of stapled transanal rectal resection (STARR) for treatment of obstructive defaecation syndrome (ODS). METHODS: Between February 2001 and June 2006, 104 patients diagnosed with ODS were treated with STARR. Follow-up was scheduled for 1, 3 and 6 months after surgery, and annually thereafter. Variables related to the patient, surgical technique and outcome were analysed. RESULTS: Mean operating time was 46.7 min. Haemorrhage at the staple line occurred in 55 patients (52.9 per cent). Three patients required surgical revision in the first 48 h owing to persistent bleeding. The median postoperative pain score was 2.4 on a scale from 1 to 10. Mean hospital stay was 2.2 days. The mean constipation score improved from 13.5 before surgery to 5.1 at 1-year follow-up (P = 0.006). Twenty-three patients reported faecal incontinence at 4 weeks after surgery, but only nine still had minor residual incontinence by 1 year. At a median follow-up of 26 (range 12-72) months, ODS had recurred or persisted radiologically and/or clinically in 11 patients. CONCLUSION: STARR is associated with low morbidity and a short hospital stay, and is an effective alternative treatment for ODS.
A Arroyo; F X González-Argenté; M García-Domingo; E Espin-Basany; F De-la-Portilla; F Pérez-Vicente; R Calpena
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  The British journal of surgery     Volume:  95     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2008-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1521-7     Citation Subset:  AIM; IM    
Coloproctology Unit, Hospital General Universitario Elche, Elche, Spain.
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MeSH Terms
Constipation / surgery*
Fecal Incontinence / surgery*
Gastrointestinal Hemorrhage / etiology
Intestinal Obstruction / surgery*
Middle Aged
Prospective Studies
Rectal Diseases / etiology,  surgery*

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