[Starr0ne: transanal procedure for rectal resection with only one stapler. Case report]

Area of Science:

• Colorectal surgery
• Surgical innovation
• Rectal prolapse and rectocele treatment

Background:

• Existing Stapled Trans-Anal Rectal Resection (STARR) methods, including double-PPHO1 and Transtar CCS30, present challenges and complications.
• Previous attempts at single-stapler anterior rectal wall resection resulted in asymmetry and poor functional outcomes.
• The need for improved techniques to optimize results, minimize complications, reduce operating times, and lower costs in rectal prolapse surgery is evident.

Observation:

• The author proposes a new technique, StarrOne (Stapled TransAnal Rectal Resection only-One Stapler), utilizing a single stapler (CPH 34-32 Chex-Healtcare).
• This technique was performed in 8 cases, building upon the author's extensive experience with stapled anopexy and STARR procedures.
• A complex case involving a patient previously treated unsuccessfully with the Sarles technique is presented as a significant example.

Findings:

• The StarrOne technique involves trans-anal resection using a single stapler, focusing on the anterior rectal wall.
• The specific device characteristics and potential benefits of the Chex-Healtcare stapler are highlighted.
• The technique was applied in a challenging case of recurrent rectal prolapse.

Implications:

• The StarrOne technique aims to simplify rectal prolapse surgery and potentially improve patient outcomes.
• Further clinical experience and rigorous evaluation are necessary to establish the validity and widespread applicability of this novel method.
• This approach may offer a valuable alternative for patients with specific rectal pathologies, potentially reducing morbidity and costs.