Transanal surgery for obstructed defecation syndrome: Literature review and a single-center experience.
Obstructed defecation syndrome (ODS) is a functional disorder commonly encountered by colorectal surgeons and gastroenterologists, and greatly affects the quality of life of patients from both societal and psychological aspects. The underlying anatomical and pathophysiological changes of ODS are complex. However, intra-rectal intussusception and rectocele are frequently found in patients with ODS and both are thought to play an important role in the pathogenesis of ODS. With the development of evaluation methods in anorectal physiology laboratories and radiology studies, a great variety of new operative procedures, especially transanal procedures, have been invented to treat ODS. However, no procedure has been proved to be superior to others at present. Each operation has its own merits and defects. Thus, choosing appropriate transanal surgical procedures for the treatment of ODS remains a challenge for all surgeons. This review provides an introduction of the current problems and options for treatment of ODS and a detailed summary of the essential assessments needed for patient evaluation before carrying out transanal surgery. Besides, an overview of the benefits and problems of current transanal surgical procedures for treatment of ODS is summarized in this review. A report of clinical experience of some transanal surgical techniques used in the authors' center is also presented.
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Wei-Cheng
WC
Liu
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Song-Lin
SL
Wan
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
S M
SM
Yaseen
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Xiang-Hai
XH
Ren
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Cui-Ping
CP
Tian
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Zhao
Z
Ding
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Ken-Yan
KY
Zheng
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Yun-Hua
YH
Wu
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Cong-Qing
CQ
Jiang
Wei-Cheng Liu, Song-Lin Wan, SM Yaseen, Xiang-Hai Ren, Cui-Ping Tian, Zhao Ding, Ken-Yan Zheng, Yun-Hua Wu, Cong-Qing Jiang, Qun Qian, Department of Colorectal and Anal Surgery of Zhongnan Hospital of Wuhan University, Key Laboratory of Intestinal and Colorectal Diseases of Hubei Province, Quality Control Center of Colorectal and Anal Surgery of Health and Family Planning Commission of Hubei Province, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan 430071, Hubei Province, China.
Qun
Q
Qian
D001003:Anal Canal / Q000601:surgery*; D003248:Constipation / Q000503:physiopathology; D003672:Defecation / Q000502:physiology*; D019841:Defecography; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D011788:Quality of Life; D012002:Rectal Diseases / Q000601:surgery*; D020047:Rectocele / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D017792:Surgical Stapling / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
Clinical experience; Clinical outcome; Medical assessment; Obstructive defecation syndrome; Transanal manual technique; Transanal stapling procedure; Transanal surgery
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