Silvia Savastano

Stapled haemorrhoidopexy in fourth degree haemorrhoidal prolapse: is it worthwhile?

Introduction  Ten years after the introduction of stapled haemorrhoidopexy few studies have stratified patients by degree of haemorrhoidal disease when analysing results.

STARR With PPH-01 and CCS30 Contour Transtar for Obstructed Defecation Syndrome

Introduction. The stapled transanal rectal resection (STARR) procedure is safe and effective. Objective of the Study. To compare STARR performed with PPH-01 (STARR) and CCS 30 (Transtar). Materials and Methods. Sixty-four patients underwent STARR for obstructed defecation syndrome (32 STARR and 32 Transtar) and were observed from January 2007 to June 2009. Patients were studied by visit with questionnaires, colonoscopy or barium enema, defecography, and anorectal manometry. Postoperatively they were assessed through visit and questionnaires. Results. All patients improved symptoms without statistical differences. The obstructed defecation syndrome score changed from 13 to 1.8 at 6 months and to 1 at 1 year in the STARR group (P < .05), and the score changed from 15 to 2 at 6 months and to 1 at 1 year in the Transtar group (P < .05). There were no intraoperative complications in the STARR group, but there were 2 dehiscences of suture in the Transtar group. There were no differences with regard to complications. Conclusion. Transtar is a more complex technique with more severe complications. A major resection is not always more effective.

Colpocystodefecography in obstructed defecation: is it really useful to the surgeon? Correlating clinical and radiological findings in surgery for obstructed defecation.

Objective  Colpocystodefecography images the pelvic floor with the dynamics of defecation, but various authors claim that it overestimates clinical findings. The aim of this study was to evaluate the pre‐ and postoperative consistency between clinical and colpocystodefecographic findings in patients undergoing surgery for obstructed defecation.

Extensive anal condylomatosis: prognosis in relation to viral and host factors

Objective  To evaluate the clinical course of extensive anal condylomatosis in relation to treatment modalities, patient comorbidity and immune function, and associated papillomavirus (HPV) sequences.

Surgery for obstructed defecation in over 65 year old patients

Materials and methods 32 over 65-years old patients underwent surgery for obstructed defecation syndrome and then observed prospectively by the Coloproctological Unit of Surgical Clinic III, S. Antonio Hospital, Padova, from 2001 to 2007. All patients were evaluated with a dedicated questionnaire: Knowles-Eccerseley-Scott score (KESS) for all patients and Obstructed Defecation score (ODS) for two groups, proctological and gynecological examination, colpocystodefecography before surgery and 6 months afterwards.

Anterior laparoscopic rectal resection for cancer in the elderly: long-term outcome, risk factors and health related quality of life

Background Elderly population in Western countries is rapidly increasing. Literature suggests that radical colorectal resection in the elderly can be safely undertaken with good short and long term results; however results of specific rectal laparoscopic resections are not well defined and so quality of life. The aim of this study was to assess long-term outcome; risk factors and health related quality of life (HRQoL) in elective rectal cancer laparoscopic resection in patients older than 65 years.