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[Rare complication after STARR operation].

M Kessler1, A K Joos, D Bussen

  • 1Chirurgische Klinik, Universitätsklinikum Mannheim , Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim , Deutschland.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|October 26, 2007
PubMed
Summary
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Longo's STARR operation for obstructive defecation syndrome can cause rare complications like rectal wall cavities. A modified Rehn-Delorme procedure successfully treated a patient with a rectovaginal cavity and coproliths.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Pelvic Floor Disorders

Context:

  • Obstructive defecation syndrome (ODS) presents a significant challenge in colorectal surgery.
  • Longo's STARR (Single-TransAnal Recto-Rectal) operation offers a minimally invasive approach for ODS.
  • Potential complications of STARR, though known, require careful consideration and management.

Purpose:

  • To report a rare complication of the STARR operation: a rectovaginal cavity.
  • To describe the successful surgical management of this complication using a modified Rehn-Delorme procedure.
  • To emphasize the importance of surgical expertise and awareness of potential STARR complications.

Summary:

  • A patient undergoing STARR operation developed a rectovaginal cavity due to incomplete rectal wall resection and stapler suture dilatation.

Related Experiment Videos

  • This cavity led to recurrent stool impaction and coprolith formation.
  • A modified Rehn-Delorme operation was successfully employed to resect the cavity.

    • Impact:

    • Highlights a previously undescribed complication associated with the STARR procedure.
    • Demonstrates an effective surgical solution for managing complex STARR-related sequelae.
    • Reinforces the need for meticulous surgical technique and comprehensive understanding of STARR operation risks.