The evolution of transanal surgery for obstructed defecation syndrome: Mid-term results from a randomized study comparing double TST 36 HV and Contour TRANSTAR staplers

Paolo Boccasanta, Sergio Agradi, Contardo Vergani, Giuseppe Calabrò, Luca Bordoni, Claudio Missaglia, Marco Venturi

Research output: Contribution to journalArticlepeer-review

Abstract

A randomized study was carried out to compare the mid-term outcome of transanal rectal resection with the CCS-30 TRANSTAR and two TST36 staplers in patients with obstructed defecation syndrome. After selection, patients were randomly assigned to 2 groups:104 underwent a TRANSTAR operation and 104 a transanal rectal resection with two TST36 staplers. Patients were followed up with clinical examination, and defecography. Cumulative complication rate was significantly higher in TRANSTAR operation (P = 0.019). All symptoms and defecographic parameters significantly improved (P < 0.001), without differences. Costs were significantly lower with double TST (P = 0.035). Recurrence rates were 6.2% in TRANSTAR group and 11.4% with double TST (P = 0.206). Two circular TST 36 staplers consent to obtain the same clinical and functional results than the CCS-30, with significantly lower complication rate and costs.

Original languageEnglish
Pages (from-to)893-899
JournalAmerican Journal of Surgery
Volume216
Issue number5
DOIs
Publication statusPublished - 2018

Keywords

  • Curved CCS-30 Transtar stapler
  • Double circular TST36 stapler
  • Obstructed defecation

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'The evolution of transanal surgery for obstructed defecation syndrome: Mid-term results from a randomized study comparing double TST 36 HV and Contour TRANSTAR staplers'. Together they form a unique fingerprint.

Cite this