STARR with Contour® Transtar™: Prospectctive Multicentre European Study
Lenisa, L., Schwandner , O., Stuto, A., Jayne, D., Pigot, F., Tuech, J.J., Scherer, R., Nugent, Karen, Corbisier, F., Basany, E. and Hetzer, F.H. (2009) STARR with Contour® Transtar™: Prospectctive Multicentre European Study. Colorectal Disease, 11, (8), 821-827. (doi:10.1111/(ISSN)1463-1318). (PMID:19175625).
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OBJECTIVE: The stapled transanal rectal resection (STARR) in patients with defecation disorders is limited by the shape and capacity of the circular stapler. A new device has been recently developed, the Contour Transtar stapler, in order to improve the safety and effectiveness of the STARR technique. The study has been designed to confirm this declaration.
METHOD: From January to June 2007 a prospective European multicentre study of consecutive patients with defecation disorder caused by internal rectal prolapse underwent the new STARR technique. The assessment of perioperative morbidity and functional outcome after 6 weeks, 3 and 12 months was documented by different scores.
RESULTS: In all 75 patients, median age 64, the Transtar procedure was performed with 9% intraoperative difficulties, 7% postoperative complications and no mortality. The mean reduction of the ODS score was -15.6 (95%-CI: -17.3 to -13.8, P < 0.0001), mean reduction of SSS was -12.6 (95%-CI: -14.2 to -11.2; P < 0.0001). 41% stated improvement of their continence status by CCF score, only 4 patients (5%) had deterioration.
CONCLUSION: The Transtar procedure is technically demanding, with good functional results similar to the conventional STARR.
|Keywords:||STARR, obstructive defecation syndrome, constipation, internal rectal prolapse, rectocele, incontinence|
|Subjects:||R Medicine > R Medicine (General)
R Medicine > RD Surgery
|Divisions:||University Structure - Pre August 2011 > School of Medicine
|Date Deposited:||05 Apr 2011 09:14|
|Last Modified:||02 Mar 2012 14:00|
|RDF:||RDF+N-Triples, RDF+N3, RDF+XML, Browse.|
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