Clinical Application And Curative Effect Observation Of Improved STARR In The Treatment Of Rectocele

Objective: to study the improvement of the stapling resectionof rectum anus (improved STARR) in clinical application andrelated technology.Methods: Retrospective analysis from anus colorectal surgerysince April2009to March2013,189cases of rectum before dashforward (Ⅱ, Ⅲ degrees) modified by stapling rectum anus partresection (improved STARR) clinical data. Operation method withfinger and thumb and first line the vagina and the anus receives,find the rectum after vaginal wall are both the most weak placethe deepest rectum thrust forward, to no.4continuous suturethread here for a needle in order to accurately position therectum thrust forward, placing enlarge anal starter holders toagain after2or3“0” love kang absorbable sutures in foldingknives silk suture a3point positioning the needle into theplane, deep to the muscle layer, the knife when a row9half pouchsuture and knife in9when a needle, for the former range larger,stitching line half arc may be appropriate to increase the width of the stitching, benno32stapling full-thickness removal ofthe front wall and a half circle rectum (firing before replacethe gloves to probe after vaginal wall not embed stapling);“Catears” are processed with4silk thread, if you have bleedingin4silk "8" the word seam hemostatic treatment.Results:189cases were successfully completed surgery, in thenear future (5-7days),106cases recovered,60cases of pay off,23cases of effective and invalid cases. Forward (3-6months)postoperatively, clinic and telephone follow-up of123cases(65.1%), and follow-up of patients72cases recovered,40casestaking effect, no invalid cases, total efficiency of91%.Intraoperative and postoperative rectovaginal fistula,postoperative anastomotic bleeding badly, without anorectalstenosis and other major complications. The operation timesignificantly shortened, compared to an average of11±1min,less intraoperative blood loss, about5-20ml; Postoperativehospital stay time, postoperative pain, blood loss, the anussank bilge feeling, then time increased, the incidence ofcomplications such as defecation dysfunction is decreasedobviously. The main factors influencing the postoperativeeffect have bract bags suture location, excision of rectalanterior wall thickness. Conclusion: Improved by stapling resection of rectum anus(improved STARR) treatment of rectal thrust forward with safetyand economy, high efficient, small trauma, shorter operationtime, operation is simple, less intraoperative bleeding, fewercomplications, quicker recovery, etc.