Transanal Stapling Techniques for Anorectal Prolapse

Both informative and easy to read Transanal stapling techniques for anorectal prolapse provides a comprehensive
review of the current knowledge regarding the modern treatment of anorectal prolapse, with emphasis on stapled
haemorrhoidopexy for prolapsing haemorrhoids, and the STARR procedure for obstructed defaecation syndrome.

The first transanal stapling technique for the treatment of anorectal prolapse was presented in abstract
form in 1998 by Dr A Longo. This described a novel technique for the surgical correction of prolapsing hemorrhoids.
The technique has subsequently enjoyed tremendous success due to its benefits in reducing postoperative pain,
shortening hospital stay, and achieving an earlier return to normal activities.
It is this success that led to the development of the stapled transanal rectal resection (STARR) procedure.

The book provides practical guidance in the application of the techniques with criteria for patient selection,
tips and tricks for obtaining the best outcomes, and how to avoid and deal with potential complications.
The views of the authors are supported by an overview of the evidence base as documented in the medical literature.
A further section deals with unresolved issues of controversy and puts forward areas for ongoing research
and development.

Transanal stapling techniques for anorectal prolapse is aimed at higher surgical trainees who are learning
for the first time the complexities of proctological practice, as well as established general surgeons and
coloproctologists who encounter the conditions on a frequent basis. The complexities of the pelvic floor are
increasingly recognised as demanding a combined approach with gynecologists and urologists, and the book
will also appeal to practitioners in these specialities.



Introduction

Historical Background: Treatments for Hemorrhoids and ODS Prior to Transanal Stapling Techniques

Anatomy and Physiology of Anorectal Prolapse

Diagnosis of Hemorrhoids and ODS

Evaluation of Patients with Symptomatic Hemorrhoids and Obstructed Defecation

Patient Selection for Stapled Hemorrhoidopexy and STARR

Stapled Hemorrhoidopexy: The Technique

Stapled Transanal Rectal Resection Procedure

The Evidence for Stapled Hemorrhoidopexy and STARR

Areas of Controversy and Future Research