Laparoscopic correction of enterocele associated to stapled transanal rectal resection for obstructed defecation syndrome.
OBJECTIVE
We report our experience of concomitant laparoscopic treatment for enterocele and stapled transanal rectal resection (STARR) for rectocele and/or rectal prolapse in patients with complex obstructed defecation syndrome (ODS).


METHODS
From June 2005 to June 2007, we submitted 20 patients with ODS due to rectal prolapse and/or rectocele, combined with stable enterocele, to STARR and laparoscopic correction of the enterocele. Preoperative assessment included symptom evaluation with standardized questionnaires, clinical examination, colonoscopy, proctoscopy, anal sphincter ultrasonography, video-defecography with synchronous opacification of the ileal loops in all patients and colpography in female patients, and anorectal manometry. Follow-up was performed in the first, third, sixth, 12th, and 24th month after surgery.


RESULTS
Eighteen (90%) patients were submitted to both procedures, simultaneously. One patient, previously submitted to STARR, underwent laparoscopic treatment of the enterocele. Postoperative complications occurred in two (10%) patients: one case of postoperative rectal bleeding and one case of retropneumoperitoneum. Median (range) preoperative and postoperative Altomare's obstructed defecation score was ten (6-14) and two (0-14), respectively (p<0.001). Median (range) preoperative and postoperative quality of life score was 79 (39-109) and 109 (50-126), respectively (p<0.001). No symptom related to ODS was detected at 6-month follow-up (19 patients) and at 24-month follow-up (19 patients).


CONCLUSIONS
The combination of STARR and laparoscopy provides a safe and effective method to treat ODS caused by rectal internal prolapse and/or rectocele combined with enterocele.
Carriero
Alfonso
A
Pelvic Floor Center, Montecchio Emilia, Italy.
Picchio
Marcello
M
Martellucci
Jacopo
J
Talento
Pasquale
P
Palimento
Domenico
D
Spaziani
Erasmo
E
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D003672:Defecation / Q000502:physiology*; D019841:Defecography; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011182:Postoperative Care; D011300:Preoperative Care; D011788:Quality of Life; D020047:Rectocele / Q000503:physiopathology* / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D017792:Surgical Stapling