[Technical variant of mechanical prolapsectomy: transanal prolapsectomy with anoscopy]

Mechanical mucoprolapsectomy for surgical treatment of rectal prolapse and haemorrhoidal pathology is a widespread practice that has been consolidated by the experience of many medical centres. We have been using a variant system (TPA, transanal prolapsectomy with anoscopy) for about two years. The main feature of this technique is the access route. We performed 51 transanal mucoprolapsectomies over a period of 20 months. During the surgical intervention, in rachianaesthesia, patients are placed in a prone position with minimal snapping of the operating cot. The use of a mobile, versatile tool ("the beak") for constructing the purse-string suture makes for very good manageability. Continuous visual and digital control of each operating step permits immediate correction where necessary. This technique is safe and effective and affords the possibility of single-operator intervention, the second operator proving superfluous in all stages of the operation.