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Short-term outcomes after anterior stapling rectotomy using a single stapler device for rectocele Cover

Short-term outcomes after anterior stapling rectotomy using a single stapler device for rectocele

Open Access
|Jan 2017

Figures & Tables

Figure 1

An abdominal spatula was inserted to protect the posterior rectal wall before the circular anal dilator (A-F).
An abdominal spatula was inserted to protect the posterior rectal wall before the circular anal dilator (A-F).

Preoperative and postoperative symptoms evaluated by MODS questionnaire

Number (n)Sum of total scor mean (SD)P
Baseline816.87 (2.69)0.012

Statistically significant using a Wilcoxon signed-ranks test

3rd month88.50 (5.92)
Baseline716.86 (2.91)0.018

Statistically significant using a Wilcoxon signed-ranks test

6th month79.43 (5.72)
Baseline716.86 (2.91)0.063
12th month79.43 (5.91)

Modified ODS patient questionnaire

Question and response optionsScore
1234
1. Medication to evacuate (enemas or suppositories)Never< 1/week1-6/weeksEveryday
2. Difficulties to evacuateNever< 1/week1-6/weeksEveryday
3. Digitation to evacuateNever< 1/week1-6/weeksEveryday
4. Return to toilet to evacuateNever< 1/week1-6/weeksEveryday
5. Feeling of incomplete evacuationNever< 1/week1-6/weeksEveryday
6. Straining/push to evacuateNeverSometimesOftenAlways
7. Time needed to evacuate<5 min6-10 min11-20 min>20 min
8. Lifestyle alterationNeverSometimesOftenAlways

Postoperative complications in patients undergoing Single-STARR

SymptomsImmediate1st month3rd month
Defecatory urgency011
Acute urinary retention100
Anal fissure001

Defecographic findings and operative time in ten patients undergoing Single-STARR

No.AgeSexDefecographicOperative timeMODSMODS
findings(min)Baseline3rdmo6thmo12thmo
154FRectocele Intussusception5517131315
233FRectocele Intussusception45112216
347FRectocele Intussusception6518161615
462FRectocele Intussusception55171--
561FRectocele Intussusception55161010-
657FRectocele5017212
755FRectocele2516--3
853FRectocele Intussusception552011117
941FRectocele551913138
DOI: https://doi.org/10.5372/1905-7415.0902.378 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 133 - 138
Published on: Jan 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2017 Sahaphol Anannamcharoen, Kanchana Areerattanavet, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.