Transanal surgery for obstructed defecation syndrome: Literature review and a single-center experience
نویسندگان
چکیده
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.
منابع مشابه
Horizon Scanning in Surgery: Application to Surgical Education and Practice Stapled transanal rectal resection for obstructed defecation syndrome
متن کامل
نتایج بالینی پس از انجام جراحی دلورم در درمان اختلال انسدادی دفع
Background and purpose: Obstructive defecation syndrome (ODS) is a common dysfunction that affects adult female population. The Delorme’s procedure is a perineal approach for obstructed defecation syndrome. This study was designed to investigate the clinical outcomes after Delorme’s procedure for obstructed defecation syndrome. Material and methods: The study was carried out between June 2012 ...
متن کاملThe impact of stapled transanal rectal resection on anorectal function in patients with obstructed defecation syndrome.
PURPOSE A careful preoperative selection of patients was performed in order to identify those eligible for stapled transanal rectal resection to correct obstructed defecation syndrome. The aim was to assess the consequences of surgery on anorectal function and patient outcomes. METHODS From January 2004 to June 2007, 33 female patients (median age, 56.3 years; range, 27-77 years) eligible for...
متن کاملComparing the Outcomes of Stapled Transanal Rectal Resection, Delorme Operation and Electrotherapy Methods Used for the Treatment of Obstructive Defecation Syndrome
Background: Pathophysiology and treatment of obstructive defecation syndrome (ODS) remains to be defined clearly. Rectal hidden intussusceptions and voluminous hemorrhoids may be the cause. Where conservative treatment is not effective, ODS can be treated by STARR or Delorme operation. In some patients treatment of advance hemorrhoidal disease may resolve the syndrome. Methods: 81 females out o...
متن کاملStapled transanal rectal resection for obstructed defecation syndrome: one-year results of the European STARR Registry.
PURPOSE Stapled transanal rectal resection is advocated for the treatment of obstructed defecation syndrome. Supporting evidence for its safety and effectiveness has been lacking. To address this, the European Stapled Transanal Rectal Resection Registry was initiated in January 2006. This study was designed to analyze 12-month postoperative outcomes of this procedure using data collected in the...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 22 شماره
صفحات -
تاریخ انتشار 2016