Modified perineal stapled rectal resection with contour transtar for full-thickness rectal prolapse

G. Romano, F. Bianco, L. Caggiano

Research output: Contribution to journalArticle

Abstract

Objective: We report a modified technique of perineal proctectomy using a new reloadable curved cutter stapler, the Contour® Transtar™ (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.

Original languageEnglish
Pages (from-to)878-881
Number of pages4
JournalColorectal Disease
Volume11
Issue number8
DOIs
Publication statusPublished - 2009

Fingerprint

Rectal Prolapse
Prolapse
Constipation
Rectum
Dissection
Length of Stay
Morbidity
Mortality

Keywords

  • Contour transtar
  • Perineal resection
  • Rectal prolapse

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Modified perineal stapled rectal resection with contour transtar for full-thickness rectal prolapse. / Romano, G.; Bianco, F.; Caggiano, L.

In: Colorectal Disease, Vol. 11, No. 8, 2009, p. 878-881.

Research output: Contribution to journalArticle

@article{7331dcde69594940b59a4440a8f18b23,
title = "Modified perineal stapled rectal resection with contour transtar for full-thickness rectal prolapse",
abstract = "Objective: We report a modified technique of perineal proctectomy using a new reloadable curved cutter stapler, the Contour{\circledR} Transtar™ (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.",
keywords = "Contour transtar, Perineal resection, Rectal prolapse",
author = "G. Romano and F. Bianco and L. Caggiano",
year = "2009",
doi = "10.1111/j.1463-1318.2009.01901.x",
language = "English",
volume = "11",
pages = "878--881",
journal = "Colorectal Disease",
issn = "1462-8910",
publisher = "Wiley-Blackwell",
number = "8",

}

TY - JOUR

T1 - Modified perineal stapled rectal resection with contour transtar for full-thickness rectal prolapse

AU - Romano, G.

AU - Bianco, F.

AU - Caggiano, L.

PY - 2009

Y1 - 2009

N2 - Objective: We report a modified technique of perineal proctectomy using a new reloadable curved cutter stapler, the Contour® Transtar™ (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.

AB - Objective: We report a modified technique of perineal proctectomy using a new reloadable curved cutter stapler, the Contour® Transtar™ (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.

KW - Contour transtar

KW - Perineal resection

KW - Rectal prolapse

UR - http://www.scopus.com/inward/record.url?scp=70149102442&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70149102442&partnerID=8YFLogxK

U2 - 10.1111/j.1463-1318.2009.01901.x

DO - 10.1111/j.1463-1318.2009.01901.x

M3 - Article

C2 - 19456842

AN - SCOPUS:70149102442

VL - 11

SP - 878

EP - 881

JO - Colorectal Disease

JF - Colorectal Disease

SN - 1462-8910

IS - 8

ER -