Abstract

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Title:: Therapetic effect of stapled transanal rectal resection on female outlet obstructive constipation

Author(s):: XU Lechen1; SHEN Jiahua1; YANG Xinqing2; 1. Department of Anorectal Surgery, Beijing Aerospace General Hospital, Beijing 100076, China 2. Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100027, China

Keywords:: Keywords: stapled transanal rectal resection outlet obstructive constipation rectocele rectal mucosal prolapse

Abstract:: Abstract: Objective To investigate the therapeutic effect of stapled transanal rectal resection (STARR) on female outlet obstructive constipation (OOC) which is mainly caused by rectocele (or combined with rectal mucosal prolapse). Methods The stapler used in transanal rectal resection was introduced briefly. The subjective feeling, Longo score and defecography of 58 female patients before and after STARR for OOC mainly caused by rectocele (or combined with rectal mucosal prolapse) were analyzed and compared. Results After surgery, all patients felt that the symptom of difficult defecation was relieved, and the defecation was smoother than pre-surgery. Compared with that before surgery, the Longo scores at 1 week, 1 month and 3 months after surgery were significantly lower, with statistical differences (P<0.05). The results of defecography at 1 month and 3 months after surgery suggested that rectocele and rectal mucosal prolapse were obviously better than pre-surgery (P<0.01). Conclusion STARR is a safe and effective procedure for the treatment of female OOC which is mainly caused by rectocele (or combined with rectal mucosal prolapse), but its surgical indications should be strictly grasped.