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[Operative therapy of external rectal prolapse with a stapler].

R Scherer1

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Perineal stapled prolapse resection (PSP) is a safe surgical option for external rectal prolapse in elderly, multimorbid patients. Evidence remains limited, necessitating further comparative studies for this new technique.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • External rectal prolapse is a rare condition predominantly affecting elderly, multimorbid women.
  • Several surgical interventions exist, with limited evidence supporting their efficacy.

Purpose of the Study:

  • To describe the perineal stapled prolapse resection (PSP) technique for external rectal prolapse.
  • To evaluate the safety and outcomes of PSP, considering the limited evidence base.

Main Methods:

  • The PSP technique involves resecting the prolapsed rectum in halves using linear and curved cutters.
  • Surgical steps include complete eversion, incisions at 3 and 9 o'clock, and stepwise circumferential resection.

Main Results:

  • Case series suggest PSP yields results comparable to other established techniques.
  • The procedure is considered safe for patients with external rectal prolapse.

Conclusions:

  • Perineal stapled prolapse resection (PSP) is a safe surgical option for external rectal prolapse.
  • Due to a lack of comparative evidence, PSP is currently best reserved for elderly and/or multimorbid individuals.