Abstract
Background: The standard procedure in the treatment of full-thickness rectal prolapse is transabdominal rectopexy, mostly in combination with a distal colon resection, although transanal and perineal procedures are also applied. Alternatively and in accordance with circular stapled anopexy following Longo's technique, a short full-thickness rectal prolapse of up to 4 cm in patients in a reduced general condition can be repaired by double rectal cuff resection using a circular stapler. Methods: Case reports. Results: This technique was performed in 3 female patients. There were no intraoperative complications. Two postoperative bleedings occurred under anticoagulation. A median follow-up period of 23 months showed no prolapse recurrence. In all cases, the anastomotic area was of normal with and well circulated. Conclusions: In patients in a reduced general condition who are suffering from short full-thickness rectal prolapse of up to 4 cm, double resection of the rectal cuff using a circular stapler seems to be a suitable option for rectal prolapse repair.
| Original language | English |
|---|---|
| Pages (from-to) | 364-367 |
| Number of pages | 4 |
| Journal | European Surgery - Acta Chirurgica Austriaca |
| Volume | 39 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2007 |
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Keywords
- Longo procedure
- PPH (procedure for prolapse and haemorrhoids)
- Rectopexy
- Rectum prolapse
- Transanale rectum resection
ASJC Scopus subject areas
- Surgery
Cite this
Repair of short full-thickness rectal prolapse by transanal double circular stapled partial rectal wall resection. / Tarantino, I.; Zerz, A.; Müller-Stich, B. P.; Ahmad, F.; Zadnikar, M.; Lange, J.; Beck, Joachim.
In: European Surgery - Acta Chirurgica Austriaca, Vol. 39, No. 6, 2007, p. 364-367.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Repair of short full-thickness rectal prolapse by transanal double circular stapled partial rectal wall resection
AU - Tarantino, I.
AU - Zerz, A.
AU - Müller-Stich, B. P.
AU - Ahmad, F.
AU - Zadnikar, M.
AU - Lange, J.
AU - Beck, Joachim
PY - 2007
Y1 - 2007
N2 - Background: The standard procedure in the treatment of full-thickness rectal prolapse is transabdominal rectopexy, mostly in combination with a distal colon resection, although transanal and perineal procedures are also applied. Alternatively and in accordance with circular stapled anopexy following Longo's technique, a short full-thickness rectal prolapse of up to 4 cm in patients in a reduced general condition can be repaired by double rectal cuff resection using a circular stapler. Methods: Case reports. Results: This technique was performed in 3 female patients. There were no intraoperative complications. Two postoperative bleedings occurred under anticoagulation. A median follow-up period of 23 months showed no prolapse recurrence. In all cases, the anastomotic area was of normal with and well circulated. Conclusions: In patients in a reduced general condition who are suffering from short full-thickness rectal prolapse of up to 4 cm, double resection of the rectal cuff using a circular stapler seems to be a suitable option for rectal prolapse repair.
AB - Background: The standard procedure in the treatment of full-thickness rectal prolapse is transabdominal rectopexy, mostly in combination with a distal colon resection, although transanal and perineal procedures are also applied. Alternatively and in accordance with circular stapled anopexy following Longo's technique, a short full-thickness rectal prolapse of up to 4 cm in patients in a reduced general condition can be repaired by double rectal cuff resection using a circular stapler. Methods: Case reports. Results: This technique was performed in 3 female patients. There were no intraoperative complications. Two postoperative bleedings occurred under anticoagulation. A median follow-up period of 23 months showed no prolapse recurrence. In all cases, the anastomotic area was of normal with and well circulated. Conclusions: In patients in a reduced general condition who are suffering from short full-thickness rectal prolapse of up to 4 cm, double resection of the rectal cuff using a circular stapler seems to be a suitable option for rectal prolapse repair.
KW - Longo procedure
KW - PPH (procedure for prolapse and haemorrhoids)
KW - Rectopexy
KW - Rectum prolapse
KW - Transanale rectum resection
UR - http://www.scopus.com/inward/record.url?scp=38049031277&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38049031277&partnerID=8YFLogxK
U2 - 10.1007/s10353-007-0367-8
DO - 10.1007/s10353-007-0367-8
M3 - Article
AN - SCOPUS:38049031277
VL - 39
SP - 364
EP - 367
JO - Acta Chirurgica Austriaca
JF - Acta Chirurgica Austriaca
SN - 0001-544X
IS - 6
ER -