ArticleTechniques in coloproctology2018
Treatment of obstructed defecation syndrome due to rectocele and rectal intussusception with a high volume stapler (TST STARR-plus).
Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Stapled Transanal Rectal Resection (Starr) in the Treatment of Obstructed Defecation: A Systematic Review.Frontiers in surgery · 2022Pooled it
- Tissue-Selecting Technique (TST36) for internal rectal prolapse: A tailored stapled transanal approach-A video vignette.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- A step-by-step approach to endorectal proctopexy (ERPP): how we do it.Techniques in coloproctology · 2021Article
- Stapled trans-anal rectal resection can improve constipation symptoms and inflammatory reaction of patients with outlet obstructive constipation.American journal of translational research · 2021Article
- Clinical efficacy of integral theory-guided laparoscopic integral pelvic floor/ligament repair in the treatment of internal rectal prolapse in females.World journal of clinical cases · 2020Article
- Impact of TRREMS on symptoms of obstructed defecation due to rectocele: predictive factors and outcomes.Techniques in coloproctology · 2020Article
- Management of retrorectal hematoma after stapled transanal rectal resection for prolapsed hemorrhoids associated with occult rectal prolapse and obstructed defecation syndrome.Techniques in coloproctology · 2018Article
- Staplers for obstructed defecation syndrome.Techniques in coloproctology · 2018Article
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7 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, stapled transanal resection (STARR) has been adopted worldwide with convincing short-term results. However, due to the high recurrence rate and some major complications after STARR, there is still controversy about when the procedure is indicated. The aim of this study was to assess the safety, efficacy and feasibility of STARR performed with a new dedicated device for tailored transanal stapled surgery.
methodsAll the consecutive patients affected by obstructed defecation syndrome (ODS) due to rectocele or/and rectal intussusception, who underwent STARR with the TST STARR-Plus stapler, were included in a prospective study. Pain, Cleveland Clinic Score for Constipation (CCCS) and incontinence, patient satisfaction, number of hemostatic stitches, operative time, hospital stay and perioperative complications were recorded. Postoperative complications and recurrence were also reported.
resultsForty-five consecutive patients (median age 50; range 24-79) were included in the study. Median resected volume was 15 cm
conclusionsTST STARR-Plus seems to be safe and effective for the treatment of ODS due to rectocele and rectal intussusception, and technical improvement could reduce the risk of some complications. However, careful patient selection is still the best means of preventing complications.
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