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Chirurgické řešení pseudoobstrukčního defekačního syndromu pomocí TST stapleru
[Surgical treatment of pseudo-obstructive defecation syndrome using TST stapler]

Zbořil P., Řezáč T., Gregořík M., Starý L., Klementa I., Vomáčková K., Stašek M.

. 2021 ; 25 (1) : 4-9.

Jazyk čeština Země Slovensko

Typ dokumentu přehledy

Perzistentní odkaz   https://www.medvik.cz/link/bmc21027406

Defecation problems affect up to 30% of the adult population. Women are affected 3x more often than men. Diagnosis is complex, and is performed in cooperation with other medical specialties, such as urology, gynecology and neurology. Nonetheless, a proctologist is the first specialist, which patients with defecation problems most often seek out. Treatment includes dietary measures, rehabilitation techniques, and surgical procedures. The most common causes include ventral rectocele, anorectal prolapse, and rectorectal intussusception. In the majority of cases, III. and IV. degree hemorrhoids also present. A number of surgical techniques have been developed to treat static and dynamic disorders of the small pelvis. The new resection technique using the TST high-capacity stapler seems promising. This method is based on segmental resection of the rectal wall. Between January 2016 and October 2017, 34 patients were operated on using the TST stapler. Surgery using the TST stapler led to treatment of the underlying disease in all patients. Stapler failure did not occur in any of the cases. The introduction of high-capacity circular staplers (TST 36) creates new possibilities for treating anorectal prolapse and rectocele. Based on our experience, this method is able to treat rectal prolapse protruding 3cm past the anus. The surgery is always performed using only one stapler.

Surgical treatment of pseudo-obstructive defecation syndrome using TST stapler

Bibliografie atd.

Literatura

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