Clinical research of tissue selecting therapy stapler stapled transanal rectal resection plus for severe prolapsed hemorrhoids

doi:10.3877/cma.j.issn.2095-3224.2018.05.013

Abstract

Abstract:

Objective

To assess the safety, efficacy and feasibility of stapled transanal procedures performed by a new dedicated device, TST STARR Plus, in the treatment of severe prolapsed hemorrhoids.

Methods

From October 2013 to April 2015, Forty-eight patients were enrolled in the study. The procedure with perioperative complications, postoperative complications, the patient′s satisfaction with the efficacy of operation, and recurrence rate were reported.

Results

All patients were successfully performed in the mean of 23.5 minutes. The mean resected volume was 9.6 ml with a mean height of surgical specimen of 4.8 cm. In 26 pts, additional stitches on the suture line were needed (mean 1.7). Postoperative urinary dysfunction was reported in 17 pts, including 11 pts of oral drugs, 6 pts with indwelling catheter. Postoperative pain score of 2.5 points on the surgery day, the first defecation pain score of 3.8 points, the mean tenesmus scoring 2.9 points, CCF-FIS score mean of 2.3 points after 7 days surgery. The mean hospital stay was 7.2 days. The patient′s satisfaction with the efficacy of operation was 9.8 after 6 months, no recurrence of prolapse was reported at a median of 31.3 months after surgery.

Conclusion

TST STARR plus seems to be safe and effective in the treatment of severe prolapsed hemorrhoids.

Key words: Hemorrhoids, Stapled transanal rectal resection, Severe prolapsed hemorrhoids, Clinical efficacy

Zhengguo Zhang, Yong Yang, Guang Yang, Chunhui Liang, Shanshan Li. Clinical research of tissue selecting therapy stapler stapled transanal rectal resection plus for severe prolapsed hemorrhoids[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2018, 07(05): 472-475.

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References 20

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