Our Summary

This research paper focuses on the evaluation of a specific surgical method known as a modified Stapled TransAnal Rectal Resection (STARR) for treating mild cases of rectal prolapse. Rectal prolapse is a condition where the rectum, the lower end of the large intestine, slips outside the anus.

The researchers retrospectively assessed a group of patients who had undergone this surgery using a special stapler device (TSTStarr Plus) between February 2014 and September 2016. They observed the safety and effectiveness of the procedure and the patients’ health post-operation.

The results showed that the procedure was generally successful, with the recurrence of prolapse in only one case out of twenty-five patients. Furthermore, the patients’ postoperative symptoms and difficulties in defecation improved significantly compared to their preoperative state.

In conclusion, the modified STARR method appears to be a safe and effective treatment for mild rectal prolapse. The researchers suggest that these promising initial results warrant further investigation in a more formal trial.

FAQs

  1. What is the modified Stapled TransAnal Rectal Resection (STARR) method for treating rectal prolapse?
  2. How effective was the modified STARR method in treating mild cases of rectal prolapse based on the research study?
  3. What were the observed improvements in patients’ health post-operation after undergoing the modified STARR surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rectal prolapse surgery is to follow post-operative care instructions closely to ensure proper healing and minimize the risk of complications. This may include taking prescribed medications, maintaining proper hygiene, avoiding heavy lifting or strenuous activities, and following a recommended diet to prevent constipation. It is also important to attend follow-up appointments with your healthcare provider to monitor your progress and address any concerns.

Suitable For

Patients who are typically recommended rectal prolapse surgery are those who have mild to moderate symptoms of rectal prolapse that are affecting their quality of life and are not responding well to conservative treatments such as dietary changes, pelvic floor exercises, and medications. These patients may experience symptoms such as the feeling of something protruding from the anus, difficulty controlling bowel movements, and recurrent rectal prolapse.

Surgical intervention is usually recommended for patients with more severe cases of rectal prolapse, or for those who have tried conservative treatments without success. The decision to undergo surgery will depend on the patient’s overall health, the severity of their symptoms, and their willingness to undergo a surgical procedure.

It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine the most appropriate course of action for their individual case.

Timeline

Before the surgery, patients typically experience symptoms such as the feeling of a bulge or lump protruding from the anus, difficulty controlling bowel movements, and incontinence. They may also have discomfort or pain in the rectal area, bleeding, and constipation. These symptoms can significantly impact a patient’s quality of life and daily activities.

After the surgery, patients typically experience a period of recovery that includes pain management, monitoring for any complications, and gradually resuming normal activities. They may need to follow a special diet to prevent straining during bowel movements and to promote healing. Physical therapy and pelvic floor exercises may also be recommended to help strengthen the muscles in the rectal area.

Over time, patients should experience improvement in their symptoms and overall quality of life. The recurrence of rectal prolapse is rare after successful surgery, and patients should see a reduction in their symptoms such as incontinence, pain, and discomfort. Follow-up appointments with healthcare providers will be necessary to monitor the patient’s progress and address any concerns that may arise.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rectal prolapse surgery include:

  1. What are the potential risks and complications associated with the surgery?
  2. How long is the recovery period, and what can I expect during the recovery process?
  3. Will I need to make any lifestyle or dietary changes after the surgery?
  4. How successful is this specific surgical method in treating rectal prolapse?
  5. Are there any alternative treatment options available, and how do they compare to surgery?
  6. What is the long-term outlook for patients who undergo this surgery?
  7. What type of anesthesia will be used during the procedure?
  8. How experienced is the surgical team in performing this specific procedure?
  9. Will I need to follow up with a specialist or undergo any additional procedures after the surgery?
  10. Can you provide me with more information about the specific stapler device (TSTStarr Plus) that will be used during the surgery?

Reference

Authors: Lin HC, Chen HX, He QL, Huang L, Zhang ZG, Ren DL. Journal: Surg Innov. 2018 Dec;25(6):578-585. doi: 10.1177/1553350618793415. Epub 2018 Aug 17. PMID: 30117358