[Operative therapy of external rectal prolapse with a stapler].
External rectal prolapse is a rare condition, which is more common in old and multimorbid women. In recent years five surgical methods have become established from among the multitude of operative procedures which have been described. One of the most recent techniques is perineal stapled prolapse resection (PSP) which is described in this article. After complete eversion of the rectal prolapse it is resected into 2 halves using a linear cutter by incisions at 3 o'clock and 9 o'clock lithotomy positions, followed by stepwise resection with a curved cutter along the ventral and dorsal circumference. There is low evidence for the treatment of external rectal prolapse. For PSP only case series exist with results that are similar to those from other techniques; however, comparative studies are nearly completely lacking. The PSP is a relatively new surgical technique for the treatment of external rectal prolapse. It is a safe surgical procedure. Due to the lack of evidence it should remain reserved for old and/or multimorbid patients.
Zentrum für Darm- und Beckenbodenchirurgie, Krankenhaus Waldfriede, Argentinische Allee 40, 14163, Berlin, Deutschland. r.scherer@waldfriede.de.
R
R
Scherer
D000368:Aged; D004867:Equipment Design; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000601:surgery; D008297:Male; D010502:Perineum / Q000601:surgery; D012005:Rectal Prolapse / Q000175:diagnosis / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012307:Risk Factors; D017792:Surgical Stapling / Q000295:instrumentation / Q000379:methods*
PSP; Rectal prolape; Surgical procedures
Dig Surg. 2012;29(2):87-91
22441663
Dis Colon Rectum. 2008 Nov;51(11):1727-30
18626711
Colorectal Dis. 2016 Nov;18(11):1094-1100
26969880
Colorectal Dis. 2010 Mar;12(3):271-2
20070332
Dis Colon Rectum. 1997 Jul;40(7):817-20
9221859
Int J Colorectal Dis. 2013 Jul;28(7):1027-30
23371334
Dis Colon Rectum. 2013 Jan;56(1):91-6
23222285
Colorectal Dis. 2013 Jul;15(7):858-68
23461778
Colorectal Dis. 2009 Oct;11(8):878-81
19456842
Scand J Surg. 2005;94(3):207-10
16259169
Tech Coloproctol. 2014 Nov;18(11):1003-7
24771129
BMC Surg. 2010 Mar 08;10:9
20205956
Tech Coloproctol. 2013 Oct;17(5):537-40
23613218
Colorectal Dis. 2010 Aug;12 (8):822-30
19508530
Am J Gastroenterol. 2001 Mar;96(3):740-4
11280544