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Complications - STARR procedure

  1. Intraoperative Complications

    • Accidental inclusion of parts of the anal canal in the resection
      → careful placement of the anal port
    • Incomplete closure of the staple suture line
      → suturing of the rectal wall with Vicryl 3/0 using single interrupted sutures
    • Bleeding in the area of the staple suture line
      → Z-shaped ligation of the bleeding with Vicryl 2/0
    • Retraction of the posterior vaginal wall after placing the Prolene sutures
      → removal of the sutures and reapplication with sparing inclusion of the rectal wall
    • Injury to the small intestine that has prolapsed into the rectovaginal space
      → head-down position of the patient before placing the Prolene sutures; vaginal palpation before complete closure of the stapler
Postoperative Complications

Postoperative bleeding (up to 5 %)septic complications including necrotizing fasciitis (up to 4.4 %

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