title: [Ideation of a new operative anoscope in proctology].
abstract: BACKGROUND
  Rectocele is defined as an erniation of the anterior rectal and vaginal wall in the vaginal lumen due to the loss of recto-vaginal septum. Rectal mucosal prolapse was characterized by the protrusion of the mucosa alone in the rectal lumen. The Authors, herein, reported the results of a new surgical technique defined Sequential Transfixed Stitch Technique (STST) using a new anoscope. MATERIALS AND METHODS; A total of 30 consecutive patients symptomatic III or IV stage rectocele assessed with clinical and instrumental criteria were submitted to STST using the new anoscope. The new anoscope, consisting of non-toxic metallic material, designed and realized according to surgery needs and tested by the authors, increases the vision of the anal canal can be fixed according to the operator's needs.
  
  
  RESULTS
  STST was correctly performed in all the cases without early and late complications. The mean value was of 17 according to the Agachan-Wexner for patients with rectocele, significantly improved score in comparison to pre-operatory condition (p<0.05). Surgical procedure of rectocele repair was judged satisfactory in 80% of the cases.
  
  
  CONCLUSIONS
  The new operative anoscope was useful in III and IV stage rectocele repair with STST, ensuring ease of implementation of the binding repair in the absence of side effects for the patient.
authors: Dipartimenti di Chirurgia Generale e Trapianti d'Organo, Università Sapienza di Roma, Roma, Italia. fagaj@tin.it
authors: F
authors: F
authors: Gaj
authors: A
authors: A
authors: Trecca
authors: P
authors: P
authors: Crispino
authors: M
authors: M
authors: Terribile
authors: M G
authors: MG
authors: Antonelli
mesh_terms: D003107:Colorectal Surgery; D004867:Equipment Design; D005260:Female; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000295:instrumentation* / Q000379:methods; D011351:Proctoscopy / Q000295:instrumentation* / Q000379:methods; D020047:Rectocele / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome