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What Benefit With a New Stapler Device in the Surgical Treatment of Obstructed Defecation?

Phase 4
Completed
Conditions
Rectal Prolapse
Registration Number
NCT00810745
Lead Sponsor
University of Milan
Brief Summary

This randomized study was designed to compare the 2 year clinical and functional results with the STARR procedure using a new curved cutter stapler or the same operation done with 2 traditional circular staplers.

Detailed Description

From January to November 2006, 80 women were selected, with clinical examination, constipation score, colonoscopy, anorectal manometry, and perineography and randomly assigned to 2 groups: 40 patients underwent stapled transanal rectal resection with two staplers PPH-01 (Ethicon Endosurgery Inc, Pomezia, Italy) (STARR group) and 40 had the same operation with new, curved multi-fire stapler Contour R Transtar TM (TRANSTAR group). Patients were followed up with clinical examination, constipation score, and perineography.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Rectal prolapse
  • Rectocele
  • ODS score > 15
  • Continence score < 3
  • Resting pressure > 40 mm/Hg
Exclusion Criteria
  • Previous anorectal surgery
  • Ods score < 15
  • Continence score > 3
  • Resting pressure < 40
  • Concomitant pelvic floor diseases
  • Psychiatric diseases
  • Absolute contraindications to surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Primary Outcome Measures
NameTimeMethod
incidence of recurrences2 years
Secondary Outcome Measures
NameTimeMethod
outcomes on symptoms and defecography2 years

Trial Locations

Locations (2)

First department of general surgery university of milan

🇮🇹

Milan, Italy

First Department of General Surgery

🇮🇹

Milan, Italy

First department of general surgery university of milan
🇮🇹Milan, Italy

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