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Modified perineal stapled rectal resection with contour transtar for full‐thickness rectal prolapse
Author(s) -
Romano G.,
Bianco F.,
Caggiano L.
Publication year - 2009
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2009.01901.x
Subject(s) - medicine , rectal prolapse , surgery , constipation , rectum , dissection (medical) , defecation , resection
Objective We report a modified technique of perineal proctectomy using a new reloadable curved cutter stapler, the Contour ® Transtar TM (Ethicon Endo‐Surgery), to treat full‐thickness external rectal prolapse. Method Between May and July 2008 three female patients were treated. All had a full‐thickness external rectal prolapse up to 10 cm in length. The prolapse was initially divided by a linear cutter in anterior and posterior flaps, and resection of the prolapse was performed with a Contour Transtar stapler. Results There was no mortality or early or late morbidity. Follow‐up was 2–4 months. All patients had a bowel movement within 3 days of the operation, oral feeding started immediately and the hospital stay was 5 days in all cases. All patients reported an improvement of constipation and continence. Conclusion Our procedure may be indicated for full‐thickness prolapse with a rectal protrusion up to 10 cm, as it allows a simple resection without any mobilization or dissection of the rectum. The technique is safe, easier and faster to perform than conventional perineal rectosigmoidectomy.