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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 5/2014

01-05-2014 | Original Article

Tailored prolapse surgery for the treatment of haemorrhoids and obstructed defecation syndrome with a new dedicated device: TST STARR Plus

Authors: Gabriele Naldini, Jacopo Martellucci, Roberto Rea, Stefano Lucchini, Michele Schiano di Visconte, Angelo Caviglia, Claudia Menconi, Donglin Ren, Ping He, Domenico Mascagni

Published in: International Journal of Colorectal Disease | Issue 5/2014

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Abstract

Objective

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.

Methods

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.

Results

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.

Conclusions

The new device seems to be safe and effective for a tailored approach to anorectal prolapse due to haemorrhoids or obstructed defecation.
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Metadata
Title
Tailored prolapse surgery for the treatment of haemorrhoids and obstructed defecation syndrome with a new dedicated device: TST STARR Plus
Authors
Gabriele Naldini
Jacopo Martellucci
Roberto Rea
Stefano Lucchini
Michele Schiano di Visconte
Angelo Caviglia
Claudia Menconi
Donglin Ren
Ping He
Domenico Mascagni
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 5/2014
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-014-1845-7

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