[Complications after stapled transanal rectal resection for obstructed defecation].
OBJECTIVE
To evaluate the safety of stapled transanal rectal resection (STARR) for the treatment of obstructed defecation syndrome(ODS).


METHODS
A retrospective study was performed in 112 female patients with ODS eligible for STARR. The short-lerm and long-term postoperative complications were recorded and assessed.


RESULTS
Short-term postoperative complications and adverse events were reported in 18 patients (16.1%) including fecal incontinence (4.5%), anastomotic bleeding (2.7%), staple line partial dehiscence (0.9%), anal fissure (2.7%), acute urinary retention (1.8%), thrombosed external hemorrhoid (1.8%), hematoma of the rectovaginal septum (0.9%) and fecal impaction (0.9%). Reoperation was required in 2 patients (1.8%) due to the short-term postoperative complications. The median length of follow-up was 24 months. There were 6 patients with long-term postoperative complications (5.4%) including fecal incontinence (1.8%), defecatory urgency (0.9%), chronic pain due to anastomotic inflammation (1.8%), and chronic pain due to anal rectal diverticulum (0.9%). Three patients (2.7%) were reoperated.


CONCLUSIONS
STARR appears to be a safe technique for patients with obstructed defecation.
Department of Colorectal Disease Surgery, The Second Artillary General Hospital, Beijing 100088, China.
Bin
B
Zhang
Jian-hua
JH
Ding
Meng
M
Zhang
Shu-hui
SH
Yin
Ying-ying
YY
Feng
Yong
Y
Zhao
Jun
J
Zhu
Ke
K
Zhao
D003672:Defecation; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D012002:Rectal Diseases / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D017792:Surgical Stapling / Q000009:adverse effects; D016896:Treatment Outcome