title: The "inadequate doughnut" technique for stapling in rigid rectums.
abstract: OBJECTIVE
  A technique to achieve sound anastomosis of a stiff irradiated rectum is described.
  
  
  METHODS
  After application of the pursestring, manipulation of the rectal stump creates an inadequate doughnut anteriorly after firing the circular stapler, which is conveniently repaired manually.
  
  
  RESULTS
  A sound anastomosis is achieved.
  
  
  CONCLUSIONS
  This technique is efficient and reliable for creating a sound anastomosis in the rigid rectum.
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital.
authors.forename: S M
authors.initials: SM
authors.lastname: Heah
authors.forename: F
authors.initials: F
authors.lastname: Seow-Choen
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D004548:Elasticity; D006801:Humans; D012004:Rectal Neoplasms / Q000601:surgery*; D017792:Surgical Stapling / Q000379:methods*; D013536:Suture Techniques