Clinical Outcome of Stapled Transanal Rectal Resection Procedure in Obstructed Defecation Syndrome due to Rectal Intussusception: A Self Control Clinical Trial
TARR procedure outcomes in rectal intussusception
DOI:
https://doi.org/10.3329/bmrcb.v51i02.83312Keywords:
Stapled transanal rectal resection (STARR), obstructed defecation syndrome, rectal IntussusceptionAbstract
Background: Obstructed Defecation Syndrome (ODS) is a prevalent clinical condition. Stapled transanal rectal resection (STARR) is a relatively novel technique for treating this disorder. There is a paucity of evidence to support it’s safety and efficacy.
Objective: To evaluate the clinical efficacy and safety of STARR procedure in ODS due to rectal intussusception.
Methods: This self control clinical trial was performed in the department of colorectal Surgery at Shaheed Suhrawardy Medical College Hospital in Dhaka over the course of one year from February 2023 to January 2024. This study involved 34 adult ODS patients due to rectal intussusception. These patients were pre operatively and post operatively evaluated for their bowel habit by Modified Longo Score. Patients with recurrent ODS or other anorectal conditions were excluded from this study. Upon obtaining consent from the participants, a standardized questionnaire was used to collect demographic and other information. Data were analyzed utilizing SPSS version 23.
Results: The average age of the patients was 46.79 ± 6.66 years. Males (67.6%) were more prevalent than females (32.4%). All patients experienced constipation. Nine patients (26.5%) experienced stomach pain, three patients (8.8%) exhibited per rectal hemorrhage, and most of the patients (83.8%) had a history of prior abdominal surgery. The average duration of hospital stay was 4.35 ± 1.53 days, with a range of 3 to 7 days. The median (range) Modified Longo Score was 14 (7 - 18) preoperatively, which was decreased to 7 (4 - 10) after 15 days, 5 (3 - 9) after 1 month, and 4 (3 - 7) after 3 months of operattion. The Modified Longo Score significantly(p<0.001) decreased after-operation. Postoperative bleeding was noted in six patients (17.6%) but were non-fatal and was managed conservatively.
Conclusion: Stapled transanal rectal resection (STARR) is a safe and effective surgical intervention for Obstructed Defecation Syndrome (ODS)resulting from rectal intussusception.
Bangladesh Medical Res Counc Bull 2025;51(2): 69-74
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Copyright (c) 2025 Md. Maniul Hasan, Md. Rashidul Islam, Hasbi Ara Mostofa, Md. Riyadh Hasan, Mohd. Mejbahul Bahar, Ismat Jahan Lima, Mohammad Ali, Md, Rezwan Shah
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