title: [Rare complication after STARR operation].
abstract: Longo's STARR operation is a new surgical technique for the management of obstructive defecation syndrome. A major advantage is the repair of rectocele and intussusception in a single transanal approach. Complications such as bleeding, infection, anal stenosis, and fistulas are known. In the described patient we detected a cavity in the spatium rectovaginale which was lined by rectum mucosa and connected to the rectum as a result of an incomplete resection of rectum wall and dilatation of the stapler suture. Recurrent stool incrustration in the cavity led to preformation of coproliths. We performed a modified Rehn-Delorme operation to resect the cavity. The STARR operation is a technique which should be used carefully and performed only by surgeons with experience and full knowledge of the potential complications.
authors.affiliation: Chirurgische Klinik, Universitätsklinikum Mannheim , Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim , Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Kessler
authors.forename: A K
authors.initials: AK
authors.lastname: Joos
authors.forename: D
authors.initials: D
authors.lastname: Bussen
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005244:Fecal Impaction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011351:Proctoscopy; D020047:Rectocele / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000601:surgery