TY - JOUR
T1 - Results, outcome predictors, and complications after stapled transanal rectal resection for obstructed defecation
AU - Gagliardi, Giuseppe
AU - Pescatori, Mario
AU - Altomare, Donato F.
AU - Binda, Gian Andrea
AU - Bottini, Corrado
AU - Dodi, Giuseppe
AU - Filingeri, Vincenzino
AU - Milito, Giovanni
AU - Rinaldi, Marcella
AU - Romano, Giovanni
AU - Spazzafumo, Liana
AU - Trompetto, Mario
PY - 2008/2
Y1 - 2008/2
N2 - PURPOSE: Obstructed defecation may be treated by stapled transanal rectal resection, but different complications and recurrence rates have been reported. The present study was designed to evaluate stapled transanal rectal resection results, outcome predictive factors, and nature of complications. METHODS: Clinical and functional data of 123 patients were retrospectively analyzed. All patients had symptoms of obstructed defecation before surgery and had rectocele and/or intussusception. Of them, 85 were operated on by the authors and 38 were referred after stapled transanal rectal resection had been performed elsewhere. RESULTS: At a median follow-up of 17 (range, 3-44) months, 65 percent of the patients operated on by the authors had subjective improvement. Recurrent rectocele was present in 29 percent and recurrent intussusception was present in 28 percent of patients. At univariate analysis, results were worse in those with preoperative digitation (P
AB - PURPOSE: Obstructed defecation may be treated by stapled transanal rectal resection, but different complications and recurrence rates have been reported. The present study was designed to evaluate stapled transanal rectal resection results, outcome predictive factors, and nature of complications. METHODS: Clinical and functional data of 123 patients were retrospectively analyzed. All patients had symptoms of obstructed defecation before surgery and had rectocele and/or intussusception. Of them, 85 were operated on by the authors and 38 were referred after stapled transanal rectal resection had been performed elsewhere. RESULTS: At a median follow-up of 17 (range, 3-44) months, 65 percent of the patients operated on by the authors had subjective improvement. Recurrent rectocele was present in 29 percent and recurrent intussusception was present in 28 percent of patients. At univariate analysis, results were worse in those with preoperative digitation (P
KW - Intussusception
KW - Outlet obstruction
KW - Pelvic floor disease
KW - Rectocele
KW - Stapled transanal rectal resection
KW - STARR
KW - Transanal surgery
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U2 - 10.1007/s10350-007-9096-0
DO - 10.1007/s10350-007-9096-0
M3 - Article
C2 - 18157718
AN - SCOPUS:39149140699
SN - 0012-3706
VL - 51
SP - 186
EP - 195
JO - Diseases of the Colon and Rectum
JF - Diseases of the Colon and Rectum
IS - 2
ER -