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Perineal Stapled Prolapse Resection: A New Procedure for External Rectal Prolapse

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Diseases of the Colon & Rectum

Abstract

Purpose

A perineal approach to treating rectal prolapse is ideal for frail patients. Recently, internal rectal redundancy has been successfully treated with transanal resection using the Contour® Transtar™ stapler. This technique has been modified to the perineal stapled prolapse resection. The surgical technique and the preliminary results of the new procedure for external rectal prolapse are presented.

Methods

Patients not suited for transabdominal treatment were included prospectively for perineal stapled prolapse resection in two colorectal centers. Feasibility, complications, and reinterventions were assessed.

Results

In 14 of 15 patients, perineal stapled prolapse resection was performed without complications in a median operating time of 33 (range, 22–52) minutes. One procedure was changed to an Altemeier because of a staple line disruption. Two patients required reintervention as a result of postoperative hemorrhage. No other severe complications occurred. At follow-up, all patients were well and showed no early recurrence of prolapse.

Conclusions

Perineal stapled prolapse resection is a new surgical procedure for external rectal prolapse, which is easy and quick to perform. Functional results and long-term recurrence rate must be investigated further.

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Author information

Authors and Affiliations

  1. Center for Colorectal and Pelvic Floor Surgery, Waldfriede Hospital, Berlin, Germany

    Roland Scherer M.D.

  2. Department of Surgery, District Hospital of St. Gallen, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland

    Lukas Marti M.D. & Franc H. Hetzer M.D.

Authors
  1. Roland Scherer M.D.
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  2. Lukas Marti M.D.
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  3. Franc H. Hetzer M.D.
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Corresponding author

Correspondence to Franc H. Hetzer M.D..

Additional information

Roland Scherer and Franc Hetzer are consultants of Ethicon Endo-Surgery for the stapled transanal rectal resection (STARR) with Contour® Transtar™.

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Scherer, R., Marti, L. & Hetzer, F.H. Perineal Stapled Prolapse Resection: A New Procedure for External Rectal Prolapse. Dis Colon Rectum 51, 1727–1730 (2008). https://doi.org/10.1007/s10350-008-9423-0

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  • DOI: https://doi.org/10.1007/s10350-008-9423-0

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