gms | German Medical Science

130. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

30.04. - 03.05.2013, München

Stapled Transanal Rectal Resection (STARR) for the Treatment of High Recto-vaginal Fistula / Transanale Staplerresektion (STARR) zur Therapie der hohen rekto-vaginalen Fistel

Meeting Abstract

  • Joachim Reibetanz - Universitätsklinik Würzburg, Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Würzburg
  • Mia Kim - Universitätsklinik Würzburg, Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Würzburg
  • Christoph-Thomas Germer - Universitätsklinik Würzburg, Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Würzburg
  • Nicolas Schlegel - Universitätsklinik Würzburg, Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Würzburg
  • Christoph Isbert - Universitätsklinik Würzburg, Klinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Würzburg

Deutsche Gesellschaft für Chirurgie. 130. Kongress der Deutschen Gesellschaft für Chirurgie. München, 30.04.-03.05.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. Doc13dgch116

doi: 10.3205/13dgch116, urn:nbn:de:0183-13dgch1162

Published: April 26, 2013

© 2013 Reibetanz et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Introduction: Treatment of high recto-vaginal fistulas is challenging. Multiple surgical approaches are discussed in the literature but a procedure of choice has not been described.

Material and methods: Stapled transanal rectal resection (STARR) is described as a technique to treat (recurrent) high recto-vaginal fistula.

Results: STARR procedure was carried out electively in five patients with high recto-vaginal fistula. Three patients had a history of recurrent recto-vaginal fistula after at least one futile attempt of fistula repair. Four of the five patients had a diverting ileostomy at the time of presentation. STARR procedure was successful in four of five patients (60%) after the first procedure, the patient who failed after initial PPH01-STARR was successfully treated 2 months later with ContourTranstarTM. There were no septic complications recorded. After a median follow-up of 32 months (range: 17 - 39) all patients are free of fistula recurrence, and ostomy closure has been carried out in all cases.

Conclusion: STARR procedure might be a surgical option for high recto-vaginal fistula.