title: STARR with PPH-01 and CCS30 contour Transtar for obstructed defecation syndrome.
abstract: BACKGROUND
  The stapled transanal rectal resection (STARR) procedure is safe and effective.
  
  
  OBJECTIVE
  To compare STARR performed with PPH-01 (STARR) and CCS 30 (Transtar).
  
  
  METHODS
  Sixty-four patients underwent STARR for obstructed defecation syndrome (32 STARR and 32 Transtar) and were observed from January 2007 to June 2009. Patients were studied by visit with questionnaires, colonoscopy or barium enema, defecography, and anorectal manometry. Postoperatively they were assessed through visit and questionnaires.
  
  
  RESULTS
  All patients improved symptoms without statistical differences. The obstructed defecation syndrome score changed from 13 to 1.8 at 6 months and to 1 at 1 year in the STARR group (P < .05), and the score changed from 15 to 2 at 6 months and to 1 at 1 year in the Transtar group (P < .05). There were no intraoperative complications in the STARR group, but there were 2 dehiscences of suture in the Transtar group. There were no differences with regard to complications.
  
  
  CONCLUSIONS
  Transtar is a more complex technique with more severe complications. A major resection is not always more effective.
authors.affiliation: Coloproctology Service, Eretenia Private Hospital, Vicenza, Italy. silvia.savastano@gmail.com
authors.forename: Silvia
authors.initials: S
authors.lastname: Savastano
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Valenti
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.forename: Claudio
authors.initials: C
authors.lastname: Missaglia
mesh_terms: D000328:Adult; D000368:Aged; D003248:Constipation / Q000209:etiology / Q000601:surgery*; D019841:Defecography; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011184:Postoperative Period; D011446:Prospective Studies; D012005:Rectal Prolapse / Q000601:surgery*; D020047:Rectocele / Q000601:surgery*; D011795:Surveys and Questionnaires