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conferenceseries
.com
Volume 7, Issue 3 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Gastro 2017
June 12-13, 2017
June 12-13, 2017 Rome, Italy
11
th
Global
GastroenterologistsMeeting
Update of stapled anorectal surgery
Chung-Hung Yeh
St. Martin De Porres Hospital, Taiwan
S
urgical stapling technique was pioneered by a Hungarian surgeon, Dr. Humer Hultl, known as the “father of surgical stapling”. In
the early 1900s, many of the basic principles of mechanical stapling began to emerge. After one-century’s development, all kinds
of devices were invented, including linear staplers, linear cutters, and circular staplers. The staplers also make minimally invasive
surgery possible. There are plenty of endoscopic staplers were designed, and these were utilized in chest surgery, gastric surgery,
bowel surgery, and many other surgical procedure. The surgical staplers were also used in anorectal surgery. The circular staplers
have been used for low and very low bowel anastomosis to avoid permanent colostomy for decades. Stapled transanal mucosectomy,
firstly aims to treat rectal internal mucosal prolapse and obstructed defecation, and was later proposed by Dr. Antonio Longo for the
treatment of hemorrhoids in 1993. Subsequently called stapled hemorrhoidopexy or procedure for prolapsed hemorrhoids (PPH),
the technique gained a wide popularity due to the low postoperative pain. In 2005, the practice parameters of the American Society of
Colon and Rectal commended: Stapled hemorrhoidopexy is a new alternative available for individuals with significant hemorrhoidal
prolapse. Then, also proposed by Dr. Longo, a rectal wall resection with a circular stapler was the basis for the development of the
stapled transanal rectal resection (STARR) procedure. This procedure consists of a double transanal rectal resection and is aimed at
correcting the anatomical anomaly of the rectum in patients with rectocele and/or rectal intussusception causing obstructed defecation.
Although, some exceptionally rare but potentially devastating complications include anovaginal fistula, substantial hemorrhage,
fistula, retroperitoneal sepsis, and rectal perforations have been reported after stapled anorectal surgery, the documented adverse
events scattered and presented as case-report. When the procedures of PPH and STARR were accepted, more and more stapled
anorectal rectal procedures have been presented, and the efficacy and safety of these new procedures will need further monitoring.
Biography
Chung-Hung Yeh has completed his Medical Degree at Taipei Medical University. After, he completed General Surgical training in 1995; he completed his Colorectal
Surgical training at Chang-Gang Memorial Hospital (CGMH), and became the Director of Department of Colorectal Surgery at Chai-Yi CGMH from 2001 to 2009.
He has published more than 25 papers in reputed journals and was a Senior Lecturer of Chang-Gang Medical School. He serves as Deputy Director of Surgical
department at St. Martin De Porres Hospital since 2013.
yin0321@gmail.comChung-Hung Yeh, J Gastrointest Dig Syst 2017, 7:3(Suppl)
DOI: 10.4172/2161-069X-C1-049