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What is the Starr Procedure?

Published in Rectal Surgery 2 mins read

The STARR procedure is a surgical technique used for rectal resection. It is based on the stapled haemorrhoidectomy technique.

This method involves the use of specialized surgical staplers to perform a full-thickness removal of a segment of the rectal wall. The goal is typically to correct issues related to the internal rectum, such as internal prolapse.

How the STARR Procedure Works

According to the provided reference, the STARR procedure utilizes specific tools and a defined sequence:

  • Basis: The procedure is based on the stapled haemorrhoidectomy technique, which involves using a circular stapler to remove a ring of rectal tissue and staple the edges together.
  • Tools: Two PPH 01 (Johnson & Johnson; Edinburgh, UK) circular staplers are used sequentially.
  • Process: The staplers are employed to perform an anterior and posterior full-thickness rectal wall resection. This means removing a section that includes all layers of the rectal wall from both the front and back sides.
  • Result: This sequential resection ultimately producing a circumferential transanal resection of the rectum. 'Transanal' means the procedure is performed through the anus, avoiding external incisions. 'Circumferential' means the resection goes all the way around the inside of the rectum.

Essentially, it's a technique performed via the anus that uses staplers to remove a complete ring of tissue from the lower rectum.

Key Aspects of the STARR Procedure

Aspect Description
Basis Based on the stapled haemorrhoidectomy technique.
Tools Used Two PPH 01 circular staplers are used sequentially.
Resection Performs anterior and posterior full-thickness rectal wall resection.
Outcome Results in a circumferential transanal resection of the rectum.
Approach Transanal (performed through the anus).

This technique is a specific application of stapling technology adapted for addressing certain internal rectal conditions by reshaping or reducing the size of the rectum through a minimally invasive approach via the anal canal.

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