and Complications after Stapled. Transanal Rectal Resection for Obstructed Defecation. Giuseppe Gagliardi, M.D.,1 Mario Pescatori, M.D., F.R.C.S., E.B.S.Q.,2.
ORIGINAL CONTRIBUTION
Results, Outcome Predictors, and Complications after Stapled Transanal Rectal Resection for Obstructed Defecation Giuseppe Gagliardi, M.D.,1 Mario Pescatori, M.D., F.R.C.S., E.B.S.Q.,2 Donato F. Altomare, M.D.,3 Gian Andrea Binda, M.D.,4 Corrado Bottini, M.D.,5 Giuseppe Dodi, M.D.,6 Vincenzino Filingeri, M.D.,7 Giovanni Milito, M.D.,8 Marcella Rinaldi, M.D.,3 Giovanni Romano, M.D.,9 Liana Spazzafumo, M.S.,10 Mario Trompetto, M.D.11 on behalf of the Italian Society of Colo-Rectal Surgery (SICCR) 1 General Surgery, Clinica Pineta Grande, Caserta, Italy 2 Coloproctology Unit, Villa Flaminia Hospital, Rome, Italy 3 Department of Emergency and Organ Transplantation, General Surgery and Liver Transplantation Unit, University of Bari, Bari, Italy 4 Coloproctology Unit, Ospedale Galliera, Genoa, Italy 5 Coloproctology Unit, Ospedale S. Antonio Abate, Gallarate, Varese, Italy 6 Coloproctology Unit, University of Padua, Padua, Italy 7 General Surgery, Ospedale S. Eugenio, Rome, Italy 8 Coloproctology Unit, University of Rome Tor Vergata, Rome, Italy 9 Coloproctology Unit, Ospedale Moscati, Avellino, Italy 10 Center of Biometric and Medical Statistics INRCA - Ancona, Ancona, Italy 11 Coloproctology Unit, Clinica S. Gaudenzio, Novara, Italy
PURPOSE: Obstructed defecation may be treated by stapled transanal rectal resection, but different complications and recurrence rates have been reported. The present study was designed to evaluate stapled transanal rectal resection results, outcome predictive factors, and nature of complications. METHODS: Clinical and functional data of 123 patients
were retrospectively analyzed. All patients had symptoms of obstructed defecation before surgery and had rectocele and/or intussusception. Of them, 85 were operated on by the authors and 38 were referred after stapled transanal rectal resection had been performed elsewhere. RESULTS: At a median follow-up of 17 (range, 3–44)
months, 65 percent of the patients operated on by the authors had subjective improvement. Recurrent rectocele was present in 29 percent and recurrent intussusception was present in 28 percent of patients. At univariate analysis, results were worse in those with preoperative digitation (P
