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Patient Selection for Stapled Hemorrhoidopexy and STARR

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Transanal Stapling Techniques for Anorectal Prolapse

Abstract

Stapled hemorrhoidopexy using the PPH-stapling device aims to resect and reduce the volume of prolapsing hemorrhoidal tissue and to restore it to its normal anatomical position within the anal canal. In contrast, the STARR procedure aims to produce a full-thickness resection of the lower rectum, removing the distal rectal redundancy which may manifest as a rectocele and/or internal rectal prolapse, alleviating symptoms of obstructed defecation. Currently, two staplers and two techniques exist for the performance of STARR. Like any surgical intervention, the success of stapled hemorrhoidopexy and STARR is related to careful patient selection. This chapter sets out the principles involved in patient selection for stapled hemorrhoidopexy and STARR and defines the appropriate indications and contraindications for each procedure.

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Author information

Authors and Affiliations

  1. Caritas Krankenhaus Str. Josef, Regensburg, Germany

    Oliver Schwandner

  2. Krankenhaus Waldfriede, Berlin, Germany

    Roland Scherer

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  1. Oliver Schwandner
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  2. Roland Scherer
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Editor information

Editors and Affiliations

  1. Department of Colorectal Surgery, Leeds General Hospital, Great George Street, Leeds, LS1 3EX, UK

    David Jayne

  2. 2nd Surgical Unit, “Ospedale S: maria degli Angeli”, Pordenone, Italy

    Angelo Stuto

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Schwandner, O., Scherer, R. (2009). Patient Selection for Stapled Hemorrhoidopexy and STARR. In: Jayne, D., Stuto, A. (eds) Transanal Stapling Techniques for Anorectal Prolapse. Springer, London. https://doi.org/10.1007/978-1-84800-905-9_6

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  • DOI: https://doi.org/10.1007/978-1-84800-905-9_6

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-904-2

  • Online ISBN: 978-1-84800-905-9

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