Meng J, Yin ZT, Zhang YY, Zhang Y, Zhao X, Zhai Q, Chen DY, Yu WG, Wang L, Wang ZG. Therapeutic effects of the TST36 stapler on rectocele combined with internal rectal prolapse. World J Gastrointest Surg 2021; 13(5): 443-451 [PMID: 34122734 DOI: 10.4240/wjgs.v13.i5.443]
Corresponding Author of This Article
Zhi-Gang Wang, MS, Chief Physician, Department of Anorectal Disease, Shenyang Coloproctology Hospital, No. 9 Nanjing North Street, Heping District, Shenyang 110000, Liaoning Province, China. ibenstar@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2021; 13(5): 443-451 Published online May 27, 2021. doi: 10.4240/wjgs.v13.i5.443
Therapeutic effects of the TST36 stapler on rectocele combined with internal rectal prolapse
Jin Meng, Zhi-Tao Yin, Ying-Yi Zhang, Yong Zhang, Xiu Zhao, Qing Zhai, De-Yu Chen, Wei-Gang Yu, Lei Wang, Zhi-Gang Wang
Jin Meng, Yong Zhang, Xiu Zhao, Qing Zhai, De-Yu Chen, Wei-Gang Yu, Lei Wang, Zhi-Gang Wang, Department of Anorectal Disease, Shenyang Coloproctology Hospital, Shenyang 110000, Liaoning Province, China
Zhi-Tao Yin, Department of Anorectal Disease, Shenyang Hospital of Traditional Chinese Medicine, Shenyang 110000, Liaoning Province, China
Ying-Yi Zhang, First Department of General Surgery, The Third People’s Hospital of Dalian, Dalian 116000, Liaoning Province, China
Author contributions: Wang ZG designed the study; Meng J collected the data and wrote the paper; Zhang YY, Yu WG, and Wang L were responsible for the operation; Zhang Y and Yin ZT conducted follow-up of the cases with anal pressure measurement; Zhai Q and Chen DY conducted anal ultrasound defecography; All authors approved the final manuscript.
Supported byThe Natural Science Foundation of Liaoning Province, No. 20170540840.
Institutional review board statement: This study was approved by the Ethics Committee of the Shenyang Coloproctology Hospital, Liaoning Province, China and carried out in accordance with the Helsinki Declaration.
Informed consent statement: All subjects participating in the study signed the informed consent statement form.
Conflict-of-interest statement: There is no conflict of interest issue.
Data sharing statement: Please contact author for data requests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Gang Wang, MS, Chief Physician, Department of Anorectal Disease, Shenyang Coloproctology Hospital, No. 9 Nanjing North Street, Heping District, Shenyang 110000, Liaoning Province, China. ibenstar@126.com
Received: December 24, 2020 Peer-review started: December 24, 2020 First decision: January 11, 2021 Revised: January 15, 2021 Accepted: April 12, 2021 Article in press: April 12, 2021 Published online: May 27, 2021
ARTICLE HIGHLIGHTS
Research background
The most common causes of outlet obstructive constipation (OOC) are rectocele (RC) and internal rectal prolapse (IRP). The surgical methods for OOC are diverse and difficult, and the postoperative complications and recurrence rate are high, which results in both physical and mental pain in patients. With the continuous deepening of the surgeon’s concept of minimally invasive surgery and continuous in-depth research on the mechanism of OOC, the treatment concepts and surgical methods are continuously improved.
Research motivation
The TST36STARR+ stapler was used to treat patients with RC and IRP. The effects of this stapler in terms of morphology and function after surgery have not been well studied.
Research objectives
This study aimed to assess treatment outcome following use of the TST36 stapler in patients with RC combined with IRP.
Research methods
Forty-nine female patients with RC and IRP who met the inclusion criteria were selected for treatment with the TST36 stapler, and their outcomes were analyzed.
Research results
The cure rate was 92%. The postoperative obstructed defecation syndrome score, defecation frequency score, time/straining intensity, and sensation of incomplete evacuation were significantly decreased compared with these parameters before treatment. The initial and maximum defecation thresholds in patients after surgery were significantly lower than those before treatment. The postoperative ratings of RC, resting phase, and defecation phase were significantly decreased compared with those before treatment.
Research conclusions
The TST36 stapler is safe and effective in treating patients with RC combined with IRP, and it is worthy of promotion in clinical work.
Research perspectives
The TST36 stapler is safe and effective in treating RC combined with IRP, and it is worthy of popularization and continuous improvement in clinical work.
