STARR operation first experience in Iran: LTP41

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Aim:STARR (stapling Trans anal rectal resection) was developed to correct obstructive outlet syndrome (ODS). We wanted to study experience in our institute in Iran.Method:One hundred and ninety-eight patients selected and has been operated STARR operation by two colorectal surgeons in last 2 years. Preoperative work up & study consisted of taken history, including Longo's ODS score and physical examination andprocto-sigmoidescopy. In selected cases colonoscopy and defecography was mandatory. Median age was 47 and 91% of patients were female. Follow up period is between 3 and 24 months.Results:Intraoperative bleeding was seen in patients in stapling line in almost all, all controlled by simple suturing. Only three late bleedings were observed. Urinary retention in 31% of patients. Two post anal infection and suppuration in post anal region. Fecal incontinence occurred in one patient and gas incontinence in another one. ODS score improved significantly comparing topreoperative period. Fecal frequency in first postoperative week in 87% of patients. Clinical assessment in postoperative period and regular visit revealed 73% of patients satisfied from STARR operation and their QOLConclusion:STARR achieved a high rate of clinical correction of ODS and improved QOL in these patients.

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