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 journalArticle

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

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Defecation
Defecography
Costs and Cost Analysis
Recurrence

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

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

In: American Journal of Surgery, Vol. 216, No. 5, 2018, p. 893-899.

Research output: Contribution to journalArticle

Boccasanta, Paolo ; Agradi, Sergio ; Vergani, Contardo ; Calabrò, Giuseppe ; Bordoni, Luca ; Missaglia, Claudio ; Venturi, Marco. / 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. In: American Journal of Surgery. 2018 ; Vol. 216, No. 5. pp. 893-899.
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