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Current surgical treatment of obstructed defecation among selected European opinion leaders in pelvic floor surgery

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Techniques in Coloproctology Aims and scope Submit manuscript

Abstract

Background

The aim of this study was to perform a survey on the surgical management of obstructed defecation (OD) across advocated selected coloproctological experts across Europe.

Methods

Surgeons from 42 centers of coloproctology in Europe were asked to complete a questionnaire, including seven questions about their past and present operative treatment strategy for patients with OD.

Results

The questionnaire was completed by 32 experts of pelvic floor surgery in 13 European countries. All but one indicated that they consider surgical treatment for OD. Seventy-four percent of these have been using transanal stapled rectal resection (STARR) and 96 % transabdominal rectopexy. While only 65 %, who have begun performing STARR are still using transanal resection, the technique is still being used by all surgeons performing abdominal procedures. Rectopexy only, STARR only, or both approaches are offered by 52, 3, and 45 % of surgeons, respectively.

Conclusions

The use of STARR in the treatment of OD is decreasing among European opinion leaders in the field of pelvic floor surgery, while the application of transabdominal procedures continues.

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References

  1. Altomare DF, Spazzafumo L, Rinaldi M, Dodi G, Ghiselli R, Piloni V (2008) Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome. Colorectal Dis 10:84–88

    CAS  PubMed  Google Scholar 

  2. Altomare DF, Di Lena M, Giuratrabocchetta S et al (2014) The Three Axial Perineal Evaluation (TAPE) score: a new scoring system for comprehensive evaluation of pelvic floor function. Colorectal Dis 16:459–468

    Article  CAS  PubMed  Google Scholar 

  3. Bharucha AE, Pemberton JH, Locke GR 3rd (2013) American Gastroenterological Association technical review on constipation. Gastroenterology 144:218–238

    Article  PubMed  PubMed Central  Google Scholar 

  4. Lembo A, Camilleri M (2003) Chronic constipation. N Engl J Med 349:1360–1368

    Article  CAS  PubMed  Google Scholar 

  5. Andromanakos N, Skandalakis P, Troupis T, Filippou D (2006) Constipation of anorectal outlet obstruction: pathophysiology, evaluation and management. J Gastroenterol Hepatol 21:638–646

    Article  PubMed  Google Scholar 

  6. Longo A (1998) Treatment of hemorrhoid disease by reduction of mucosa and hemorrhoid prolapse with a circular-suturing device: a new procedure. In: Proceedings of the Sixth World Congress of endoscopic surgery, Rome pp 777–784

  7. D’Hoore A, Cadoni R, Penninckx F (2004) Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg 91:1500–1505

    Article  PubMed  Google Scholar 

  8. Formijne Jonkers HA, Draaisma WA, Wexner SD et al (2013) Evaluation and surgical treatment of rectal prolapse: an international survey. Colorectal Dis 15:115–119

    Article  CAS  PubMed  Google Scholar 

  9. Jayne DG, Schwandner O, Stuto A (2009) Stapled transanal rectal resection for obstructed defecation syndrome: one-year results of the European STARR Registry. Dis Colon Rectum 52:1205–1212 (discussion 1212–1214)

    Article  CAS  PubMed  Google Scholar 

  10. Ribaric G, D’Hoore A, Schiffhorst G, Hempel E, TRANSTAR Registry Study Group (2014) STARR with CONTOUR® TRANSTAR™ device for obstructed defecation syndrome: one-year real-world outcomes of the European TRANSTAR registry. Int J Colorectal Dis 29:611–622

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Isbert C, Reibetanz J, Jayne DG, Kim M, Germer CT, Boenicke L (2010) Comparative study of Contour Transtar and STARR procedure for the treatment of obstructed defecation syndrome (ODS)-feasibility, morbidity and early functional results. Colorectal Dis 12:901–908

    Article  CAS  PubMed  Google Scholar 

  12. Van Geluwe B, Stuto A, Da Pozzo F et al (2014) Relief of obstructed defecation syndrome after stapled transanal rectal resection (STARR): a meta-analysis. Acta Chir Belg 114:189–197

    Article  PubMed  Google Scholar 

  13. Consten EC, van Iersel JJ, Verheijen PM, Broeders IA, Wolthuis AM, D’Hoore A (2015) Long-term outcome after laparoscopic ventral mesh rectopexy: an Observational Study of 919 consecutive patients. Ann Surg 262:742–748

    Article  PubMed  Google Scholar 

  14. Evans C, Stevenson AR, Sileri P et al (2015) Multicenter collaboration to assess the safety of laparoscopic ventral rectopexy. Dis Colon Rectum 58:799–807

    Article  PubMed  Google Scholar 

  15. Mantoo S, Podevin J, Regenet N, Rigaud J, Lehur PA, Meurette G (2013) Is robotic-assisted ventral mesh rectopexy superior to laparoscopic ventral mesh rectopexy in the management of obstructed defaecation? Colorectal Dis 15:e469–e475

    Article  CAS  PubMed  Google Scholar 

  16. Boenicke L, Reibetanz J, Kim M, Schlegel N, Germer CT, Isbert C (2012) Predictive factors for postoperative constipation and continence after stapled transanal rectal resection. Br J Surg 99:416–422

    Article  CAS  PubMed  Google Scholar 

  17. Boenicke L, Jayne DG, Kim M et al (2011) What happens in stapled transanal rectum resection? Dis Colon Rectum 54:593–600

    Article  PubMed  Google Scholar 

  18. Mackenzie H, Dixon AR (2014) Proficiency gain curve and predictors of outcome for laparoscopic ventral mesh rectopexy. Surgery 156:158–167

    Article  PubMed  Google Scholar 

  19. Formijne Jonkers HA, Maya A, Draaisma WA et al (2014) Laparoscopic resection rectopexy versus laparoscopic ventral rectopexy for complete rectal prolapse. Tech Coloproctol 18:641–646

    Article  CAS  PubMed  Google Scholar 

  20. Badrek-Al Amoudi AH, Greenslade GL, Dixon AR (2013) How to deal with complications after laparoscopic ventral mesh rectopexy: lessons learnt from a tertiary referral centre. Colorectal Dis 15:707–712

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

Participants of the study were: M. Adamina, D. Altomare, W. Bemelman, F. Borie, L. Bresler, S. Buntzen, E. Espin, J.L. Faucheron, F. Herbst, F. Hetzer, C. Isbert, D. Jayne, C. Knowles, F. La Torre, I. Lindsey, K.P. Nugent, R. O’Connell, F. Pakravan, J. Pfeifer, F. Pigot, J.M. Pimentel, S. Post and P. Kienle, C. Ratto, B. Roche, V. Roig, H. Rosen, R. Scherer, O. Schwandner, L. Siproudhis, A. Stuto, and R. Villet.

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Authors and Affiliations

  1. Clinique de Chirurgie Digestive et Endocrinienne, Institut des Maladies de l’Appareil Digestif, University Hospital of Nantes, Nantes, France

    M. Kim, G. Meurette, R. Ragu & P. A. Lehur

  2. Department of General, Visceral, Vascular, and Paediatric Surgery, University Hospital of Wuerzburg, Oberduerrbacher Str. 6, 97080, Würzburg, Germany

    M. Kim

  3. Department of Surgery, Hospital Selayang, Selangor, Malaysia

    R. Ragu

Authors
  1. M. Kim
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  2. G. Meurette
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  3. R. Ragu
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  4. P. A. Lehur
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Corresponding author

Correspondence to M. Kim.

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Conflict of interest

Lehur PA and Meurette G were supported by CEREC, Bureau des associations, CHU de Nantes, France. The authors declare that they have no conflict of interest.

Ethical approval

This study did not need approval from the local ethics committee.

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Kim, M., Meurette, G., Ragu, R. et al. Current surgical treatment of obstructed defecation among selected European opinion leaders in pelvic floor surgery. Tech Coloproctol 20, 395–399 (2016). https://doi.org/10.1007/s10151-016-1473-z

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  • DOI: https://doi.org/10.1007/s10151-016-1473-z

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