Advertisement

The STARR Procedure for Internal Rectal Prolapse

  • Paul-Antoine Lehur
  • Guillaume Meurette
  • Marco La Torre

Abstract

Internal rectal prolapse associated with rectocele is frequently observed in patients complaining from outlet obstruction, also called obstructive defecation syndrome (ODS) after Antonio Longo [1]. There are three potential surgical approaches in the management of disordered defecation in relation with internal rectal prolapse and rectocele: abdominal, transvaginal and transanal. Each of these has its indications, advantages, risks and potential failures and drawbacks. The STARR procedure (stapled transanal rectal resection) belongs to the group of procedures performed through the anal canal (transanal approach). It is a relatively new option developed by Longo on the basis of a better understanding of ODS and specifically the part played by internal rectal prolapse (or intussusception) in the syndrome [2].

Keywords

Staple Line Rectal Prolapse Rectal Wall Anal Dilator Anterior Rectal Wall 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Corman ML, Carriero A, Hager T et al (2006) Consensus conference on the stapled transanal rectal resection (STARR) for disordered defaecation. Colorectal Dis 8:98–101PubMedCrossRefGoogle Scholar
  2. 2.
    Jayne DG, Finan PJ (2005) Stapled transanal rectal resection for obstructed defaecation and evidence-based practice. Br J Surg 92:793–794PubMedCrossRefGoogle Scholar
  3. 3.
    Dodi G, Pietroletti R, Milito G et al (2003) Bleeding, incontinence, pain and constipation after STARR transanal double stapling rectotomy for obstructed defecation. Tech Coloproctol 7:148–153PubMedCrossRefGoogle Scholar
  4. 4.
    Boccasanta P, Venturi M, Stuto A et al (2004) Stapled transanal rectal resection for outlet obstruction: A prospective, multicenter trial. Dis Colon Rectum 47:1285–1296PubMedCrossRefGoogle Scholar
  5. 5.
    Arroyo A, Perez-Vicente F, Serrano P et al (2007) Evaluation of the stapled transanal rectal resection technique with two staplers in the treatment of obstructive defecation syndrome. J Am Coll Surg 204:56–63PubMedCrossRefGoogle Scholar
  6. 6.
    European STARR trial group (2006) How is the profile of the patients submitted to STARR for obstructed defaecation syndrome? Preliminary report of a multicentre controlled trial comparing STARR vs. biofeedback. Oral poster presentation. Colorectal Dis 8(Suppl 4):19Google Scholar
  7. 7.
    Lehur PA, Hamy A (2000) Cure chirurgicale des rectocèles par voie périnéo-vaginale: plicature rectale, sacro-spinofixation vaginale et périnéorraphie postérieure. J Chir 137:165–169Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Paul-Antoine Lehur
    • 1
  • Guillaume Meurette
    • 1
  • Marco La Torre
    • 1
  1. 1.Department of Digestive and Endocrine Surgery Hôel-DieuUniversity Hospital of NantesNantesFrance

Personalised recommendations