Intraoperative check for enterocele in perineal stapled prolapse resection
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Various surgical techniques have been described for the treatment of external rectal prolapse. However, there is no accepted standard surgical therapy. Generally, transabdominal rectopexy with or without sigmoid resection is distinguished from the perineal approach. For the perineal approach, the Rehn–Delorme technique involves mucosectomy with reinforcement of the rectal muscular tube, while the Altemeier technique consists of a full-thickness rectal resection. Perineal stapled prolapse resection (PSP) was proposed as an alternative by Scherer et al. .
PSP is a further development of stapled transanal rectal resection (STARR) for internal rectal prolapse in patients suffering from outlet obstruction. While originally two circular hemorrhoid staplers (PPH-01) were employed for STARR, the Transtar technique uses a specially designed curved cutter stapler (Contour Transtar™ 30 mm, Ethicon Inc., Somerville, NJ, USA) . Full-thickness resection of the prolapsing rectum is performed...
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Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the local research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent to publication of the images in this article was obtained from the patient concerned.