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Stapled Trans Anal Rectal Resection and Its Complications in Treatment of Constipation Induced by Rectocele and Rectal Mucosal Prolapse Publisher



Sabooni K1 ; Shahverdi E2, 3 ; Azizi R1 ; Rashidian N1 ; Keramati MR1 ; Pirmohammad H3 ; Konjedi MA3 ; Shahverdi A4 ; Kordehdeh NS5
Authors
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Authors Affiliations
  1. 1. Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
  3. 3. Blood and Cancer Research Center, MAHAK Pediatric Cancer Treatment and Research Center, Tehran, Iran
  4. 4. Department of Surgery, Baqiyatallah University of Medical Sciences, Tehran, Iran
  5. 5. Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran

Source: Indian Journal of Surgery Published:2018


Abstract

Stapled transanal rectal resection (STARR) is a new surgical procedure and minimally invasive transanal operation for rectocele and mucosal/rectal prolapse. In this study, we aimed to assess the frequency of post-operation complications in chronically constipated patients. In this cross-sectional study, 17 patients who underwent STARR in Rasool-e-Akram Hospital in Tehran, Iran, during 2012 and 2013 were enrolled. Pre- and post-operation records were evaluated. Post-operation complications were addressed. Visual Analog Scale (VAS) was used to measure pain intensity. Seventeen patients with a mean age of 41.6 ± 8.4 years (12 females and 5 males) were evaluated, and follow-up time was 13.2 ± 3.4 months. Post-operative pain was the most common complication that was observed in five patients (30%). In one patient, pain was seen as an acute complication and in another patient as a chronic complication. Post-operative bleeding was observed in four patients (23%). Statistical comparison of pre- and post-operative showed a significant reduction in some cases with bleeding. (P = 0.016). STARR can be used in management of the chronic obstructive constipation as a safe and acceptable method. © 2018, Association of Surgeons of India.