Modified technique for performing STARR with Contour Transtar
Abstract Stapled Transanal Rectal Resection (STARR) performed using CCS-30 Contour Transtar™ despite its recent introduction seems to be an effective surgical procedure to treat obstructed defecation syndrome. The major constraint of this procedure is the need to open the prolapse longitudinally usi...
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| Veröffentlicht in: | The surgeon (Edinburgh) 2013, Vol.11, p.S19-S22 |
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| container_title | The surgeon (Edinburgh) |
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| creator | Brescia, Antonio Gasparrini, Marcello Cosenza, Umile Michele Laracca, Giovanni Milillo, Andrea Pancaldi, Alessandra Vitale, Valeria Mari, Francesco Saverio |
| description | Abstract Stapled Transanal Rectal Resection (STARR) performed using CCS-30 Contour Transtar™ despite its recent introduction seems to be an effective surgical procedure to treat obstructed defecation syndrome. The major constraint of this procedure is the need to open the prolapse longitudinally using the CCS-30. This is often difficult and can lead to an inadequate or spiralling resection. Our modified technique, presented in this paper, creates the prolapse opening with an electric scalpel between two Kocher clamps, placed to grab the whole prolapsed tissue at 2 and 4 o'clock, respectively. The results of the first 83 procedures confirm that this technique allows the surgeon to simplify the prolapse's longitudinal opening and especially the first loading of the tissue between the CCS-30 jaws, which is necessary to start the circular resection, as confirmed by the absence of spiralling and major complications in this series. |
| doi_str_mv | 10.1016/j.surge.2012.09.007 |
| format | Article |
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The major constraint of this procedure is the need to open the prolapse longitudinally using the CCS-30. This is often difficult and can lead to an inadequate or spiralling resection. Our modified technique, presented in this paper, creates the prolapse opening with an electric scalpel between two Kocher clamps, placed to grab the whole prolapsed tissue at 2 and 4 o'clock, respectively. The results of the first 83 procedures confirm that this technique allows the surgeon to simplify the prolapse's longitudinal opening and especially the first loading of the tissue between the CCS-30 jaws, which is necessary to start the circular resection, as confirmed by the absence of spiralling and major complications in this series.</description><identifier>ISSN: 1479-666X</identifier><identifier>EISSN: 2405-5840</identifier><identifier>DOI: 10.1016/j.surge.2012.09.007</identifier><identifier>PMID: 23182657</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Constipation - physiopathology ; Constipation - surgery ; Contour Transtar ; Defecation ; Digestive System Surgical Procedures - methods ; Equipment Design ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Rectum - physiopathology ; Rectum - surgery ; Retrospective Studies ; Stapled transanal rectal resection ; Surgery ; Surgical Stapling - instrumentation ; Sutures ; Treatment Outcome</subject><ispartof>The surgeon (Edinburgh), 2013, Vol.11, p.S19-S22</ispartof><rights>Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland</rights><rights>2012 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland</rights><rights>Copyright © 2012 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-52b99a428c08b3eede85398f74ff5af4d710eb042c9fa7f2c2b7eb2d320211353</citedby><cites>FETCH-LOGICAL-c329t-52b99a428c08b3eede85398f74ff5af4d710eb042c9fa7f2c2b7eb2d320211353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1479666X1200100X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,4009,27902,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23182657$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brescia, Antonio</creatorcontrib><creatorcontrib>Gasparrini, Marcello</creatorcontrib><creatorcontrib>Cosenza, Umile Michele</creatorcontrib><creatorcontrib>Laracca, Giovanni</creatorcontrib><creatorcontrib>Milillo, Andrea</creatorcontrib><creatorcontrib>Pancaldi, Alessandra</creatorcontrib><creatorcontrib>Vitale, Valeria</creatorcontrib><creatorcontrib>Mari, Francesco Saverio</creatorcontrib><title>Modified technique for performing STARR with Contour Transtar</title><title>The surgeon (Edinburgh)</title><addtitle>Surgeon</addtitle><description>Abstract Stapled Transanal Rectal Resection (STARR) performed using CCS-30 Contour Transtar™ despite its recent introduction seems to be an effective surgical procedure to treat obstructed defecation syndrome. The major constraint of this procedure is the need to open the prolapse longitudinally using the CCS-30. This is often difficult and can lead to an inadequate or spiralling resection. Our modified technique, presented in this paper, creates the prolapse opening with an electric scalpel between two Kocher clamps, placed to grab the whole prolapsed tissue at 2 and 4 o'clock, respectively. The results of the first 83 procedures confirm that this technique allows the surgeon to simplify the prolapse's longitudinal opening and especially the first loading of the tissue between the CCS-30 jaws, which is necessary to start the circular resection, as confirmed by the absence of spiralling and major complications in this series.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Constipation - physiopathology</subject><subject>Constipation - surgery</subject><subject>Contour Transtar</subject><subject>Defecation</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Rectum - physiopathology</subject><subject>Rectum - surgery</subject><subject>Retrospective Studies</subject><subject>Stapled transanal rectal resection</subject><subject>Surgery</subject><subject>Surgical Stapling - instrumentation</subject><subject>Sutures</subject><subject>Treatment Outcome</subject><issn>1479-666X</issn><issn>2405-5840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtP3DAUha2qqExpf0EllGU3Sa-v4zwWVEIjoJVASDNTiZ3lONfgIZNM7QTEv8fD0C7YsDqbc-7jO4x945Bx4MWPdRYmf0sZAscM6gyg_MBmmINMZZXDRzbjeVmnRVHcHLLPIawBUAqQn9ghCl5hIcsZO7kaWmcdtclI5q53fydK7OCTLfkoG9ffJsvV6WKRPLrxLpkP_ThMPll53YdR-y_swOou0NdXPWJ_zs9W81_p5fXF7_npZWoE1mMqsalrnWNloGoEUUuVFHVly9xaqW3elhyogRxNbXVp0WBTUoOtQEDOhRRH7Pt-7tYP8cIwqo0LhrpO9zRMQXGsShFnIkSr2FuNH0LwZNXWu432T4qD2nFTa_XCTe24KahV5BZTx68LpmZD7f_MP1DRcLI3UHzzwZFXwTjqDbXOkxlVO7h3Fvx8kzed653R3T09UVhHqn0kqLgKMaOWu-p2zXEE4AA34hmFKJQn</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Brescia, Antonio</creator><creator>Gasparrini, Marcello</creator><creator>Cosenza, Umile Michele</creator><creator>Laracca, Giovanni</creator><creator>Milillo, Andrea</creator><creator>Pancaldi, Alessandra</creator><creator>Vitale, Valeria</creator><creator>Mari, Francesco Saverio</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Modified technique for performing STARR with Contour Transtar</title><author>Brescia, Antonio ; Gasparrini, Marcello ; Cosenza, Umile Michele ; Laracca, Giovanni ; Milillo, Andrea ; Pancaldi, Alessandra ; Vitale, Valeria ; Mari, Francesco Saverio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-52b99a428c08b3eede85398f74ff5af4d710eb042c9fa7f2c2b7eb2d320211353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Constipation - physiopathology</topic><topic>Constipation - surgery</topic><topic>Contour Transtar</topic><topic>Defecation</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Rectum - physiopathology</topic><topic>Rectum - surgery</topic><topic>Retrospective Studies</topic><topic>Stapled transanal rectal resection</topic><topic>Surgery</topic><topic>Surgical Stapling - instrumentation</topic><topic>Sutures</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brescia, Antonio</creatorcontrib><creatorcontrib>Gasparrini, Marcello</creatorcontrib><creatorcontrib>Cosenza, Umile Michele</creatorcontrib><creatorcontrib>Laracca, Giovanni</creatorcontrib><creatorcontrib>Milillo, Andrea</creatorcontrib><creatorcontrib>Pancaldi, Alessandra</creatorcontrib><creatorcontrib>Vitale, Valeria</creatorcontrib><creatorcontrib>Mari, Francesco Saverio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The surgeon (Edinburgh)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brescia, Antonio</au><au>Gasparrini, Marcello</au><au>Cosenza, Umile Michele</au><au>Laracca, Giovanni</au><au>Milillo, Andrea</au><au>Pancaldi, Alessandra</au><au>Vitale, Valeria</au><au>Mari, Francesco Saverio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified technique for performing STARR with Contour Transtar</atitle><jtitle>The surgeon (Edinburgh)</jtitle><addtitle>Surgeon</addtitle><date>2013</date><risdate>2013</risdate><volume>11</volume><spage>S19</spage><epage>S22</epage><pages>S19-S22</pages><issn>1479-666X</issn><eissn>2405-5840</eissn><abstract>Abstract Stapled Transanal Rectal Resection (STARR) performed using CCS-30 Contour Transtar™ despite its recent introduction seems to be an effective surgical procedure to treat obstructed defecation syndrome. The major constraint of this procedure is the need to open the prolapse longitudinally using the CCS-30. This is often difficult and can lead to an inadequate or spiralling resection. Our modified technique, presented in this paper, creates the prolapse opening with an electric scalpel between two Kocher clamps, placed to grab the whole prolapsed tissue at 2 and 4 o'clock, respectively. The results of the first 83 procedures confirm that this technique allows the surgeon to simplify the prolapse's longitudinal opening and especially the first loading of the tissue between the CCS-30 jaws, which is necessary to start the circular resection, as confirmed by the absence of spiralling and major complications in this series.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>23182657</pmid><doi>10.1016/j.surge.2012.09.007</doi></addata></record> |
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| identifier | ISSN: 1479-666X |
| ispartof | The surgeon (Edinburgh), 2013, Vol.11, p.S19-S22 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Aged, 80 and over Constipation - physiopathology Constipation - surgery Contour Transtar Defecation Digestive System Surgical Procedures - methods Equipment Design Female Follow-Up Studies Humans Male Middle Aged Rectum - physiopathology Rectum - surgery Retrospective Studies Stapled transanal rectal resection Surgery Surgical Stapling - instrumentation Sutures Treatment Outcome |
| title | Modified technique for performing STARR with Contour Transtar |
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