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Cerullo G, Cassini D, Martellucci J, et al. Laparoscopic approach in a case of retroperitoneal and mesorectal haematoma following STARR procedure. Int J Surg Case Rep. 2014;6:237-40doi: 10.1016/j.ijscr.2014.10.010.
Cerullo, G., Cassini, D., Martellucci, J., & Baldazzi, G. (2015). Laparoscopic approach in a case of retroperitoneal and mesorectal haematoma following STARR procedure. International journal of surgery case reports, 6237-40. https://doi.org/10.1016/j.ijscr.2014.10.010
Cerullo, Guido, et al. "Laparoscopic approach in a case of retroperitoneal and mesorectal haematoma following STARR procedure." International journal of surgery case reports vol. 6 (2015): 237-40. doi: https://doi.org/10.1016/j.ijscr.2014.10.010
Cerullo G, Cassini D, Martellucci J, Baldazzi G. Laparoscopic approach in a case of retroperitoneal and mesorectal haematoma following STARR procedure. Int J Surg Case Rep. 2015;6:237-40. doi: 10.1016/j.ijscr.2014.10.010. Epub 2014 Dec 12. PMID: 25553530; PMCID: PMC4337917.
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Int J Surg Case Rep. 2015;6:237-40. doi: 10.1016/j.ijscr.2014.10.010. Epub 2014 Dec 12.

Laparoscopic approach in a case of retroperitoneal and mesorectal haematoma following STARR procedure.

International journal of surgery case reports

Guido Cerullo, Diletta Cassini, Jacopo Martellucci, Gianandrea Baldazzi

Affiliations

  1. General and Mininvasive Surgery - Policlinic of Abano Terme, Italy; Second Unit of General Surgery - "Santa Maria degli Angeli" Hospital of Pordenone, Italy. Electronic address: [email protected].
  2. General and Mininvasive Surgery - Policlinic of Abano Terme, Italy.
  3. General, Emergency and Minimally Invasive Surgery - Careggi University Hospital of Florence, Italy.

PMID: 25553530 PMCID: PMC4337917 DOI: 10.1016/j.ijscr.2014.10.010

Abstract

INTRODUCTION: Stapled transanal rectal resection (STARR) is a widely accepted procedure for treatment of obstructed defecation syndrome.

PRESENTATION OF CASE: We analyzed major bleeding following STARR and exposed our experience regarding its conservative management with particular attention about diagnostic and therapeutic aspects.

DISCUSSION: A case by case discussion should be carried out and treatments should be driven by the features and the progression of the haematoma with regards to size, inflammatory signs or severe rectal obstruction.

CONCLUSION: If a second surgical time and exploration is considered, laparoscopy should be an effective choice while laparotomy, stoma or rectal resection should be considered in those cases with strong suspicious of peritonitis and pelvic abscess.

Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Major bleeding; Obstructed defecation syndrome; STARR

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