Modified technique for performing STARR with Contour Transtar™

Area of Science:

• Colorectal Surgery
• Gastroenterology

Background:

• Obstructed defecation syndrome (ODS) is a debilitating condition.
• Stapled Transanal Rectal Resection (STARR) using the CCS-30 Contour Transtar™ is a recent treatment option for ODS.
• A key challenge in STARR is the longitudinal opening of the rectal prolapse, which can be difficult and lead to complications.

Purpose of the Study:

• To present a modified technique for performing the longitudinal opening of the rectal prolapse during STARR procedures.
• To simplify the initial loading of tissue into the CCS-30 device.
• To reduce the incidence of spiralling resections and major complications in STARR surgery.

Main Methods:

• A modified technique involving an electric scalpel and Kocher clamps to create the prolapse opening.
• Precise placement of Kocher clamps at 2 and 4 o'clock to secure the entire prolapsed tissue.
• Loading the prepared prolapse into the CCS-30 jaws for circular resection.

Main Results:

• The modified technique successfully simplified the longitudinal opening of the rectal prolapse.
• Easier and more accurate initial loading of tissue into the CCS-30 device was achieved.
• The study observed an absence of spiralling resections and major complications in the 83 procedures performed.

Conclusions:

• The modified technique offers a simpler and safer method for STARR surgery.
• This approach improves the initial steps of the STARR procedure, leading to better outcomes.
• The technique is effective in treating obstructed defecation syndrome with reduced complications.