Abstract
Background: Full-thickness rectal prolapse in frail elderly patients is often treated by a perineal approach with considerable attendant morbidity. We report our preliminary results of the perineal stapled prolapse resection (PSPR) technique for resection of full-thickness external rectal prolapse using a new reloadable Contour® Transtar™ stapler (Ethicon Endo-Surgery) device.
Methods: Fourteen elderly high-risk patients with an external prolapse up to 10 cm in length were treated between April 2010 and October 2011, and operative factors, outcome and recurrence rates were assessed.
Results: There were no intraoperative difficulties and no perioperative morbidity. The median operating time was 35 min (range 25–45 min) with a median hospital stay of 3 days (range 3–5 days). Four patients developed early recurrence over a median follow-up of 32 months (range 25–41 months).
Conclusions: PSPR is safer, faster and easier to perform than other conventional perineal prolapse procedures and is suitable for elderly, high-risk patients for whom an abdominal approach under general anesthesia is not advisable.
| Original language | English |
|---|---|
| Pages (from-to) | 1003-1007 |
| Number of pages | 5 |
| Journal | Techniques in Coloproctology |
| Volume | 18 |
| Issue number | 11 |
| DOIs | |
| State | Published - 26 Oct 2014 |
Keywords
- Contour Transtar
- Perineal approach
- Perineal stapled
- Prolapse resection
- Rectal prolapse