Stapled trans-anal rectal resection
| Stapled trans-anal rectal resection | |
|---|---|
| Other names | Transanal double stapling rectotomy, double-stapled transanal rectotomy, transanal anteroposterior rectotomy |
| Specialty | Colorectal surgery |
| Approach | Trans-anal |
| Types | STARR (PPH STARR), Contour Transtar, Transanal repair of rectocele and rectal mucosectomy (TRREMS) |
Stapled trans-anal rectal resection (STARR) is a minimally invasive surgical procedure for conditions such as obstructed defecation syndrome, internal rectal prolapse, and rectocele. Circular surgical staplers are used to resect (remove) sections of the wall of the rectum via the anus. The defects are then closed with surgical staples. A modification of the technique is Contour Transtar. The average age of patients undergoing STARR is about 55 years, and 83% of procedures are carried out on females.[1]
The procedure is controversial.[2] The results of many thousands of STARR procedures have been published in research. Proponents state that the procedure is simple, minimally invasive, safe, and effective. Skeptics argue that the complications may be significant (fecal urgency, urge fecal incontinence) or rarely even life-threatening.[2] There is a general trend away from STARR towards ventral rectopexy for surgical treatment of obstructed defecation syndrome.[1]
- ^ a b Cite error: The named reference
Clark2019was invoked but never defined (see the help page). - ^ a b Van Geluwe, B; Stuto, A; Da Pozzo, F; Fieuws, S; Meurette, G; Lehur, PA; D'Hoore, A (May 2014). "Relief of obstructed defecation syndrome after stapled transanal rectal resection (STARR): a meta-analysis". Acta Chirurgica Belgica. 114 (3): 189–97. doi:10.1080/00015458.2014.11681007. PMID 25102709.