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

G. Romano, F. Bianco, L. Caggiano

Research output: Contribution to journalArticlepeer-review


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
Issue number8
Publication statusPublished - 2009


  • Contour transtar
  • Perineal resection
  • Rectal prolapse

ASJC Scopus subject areas

  • Gastroenterology


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