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The "inadequate doughnut" technique for stapling in rigid rectums

S M Heah¹, F Seow-Choen

¹Department of Colorectal Surgery, Singapore General Hospital.

Diseases of the Colon and Rectum

|January 1, 1996

Summary

This study presents an efficient technique for creating a sound anastomosis in a stiff, irradiated rectum. The method ensures reliable surgical connection, overcoming challenges posed by rectal rigidity.

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Area of Science:

Surgical techniques
Colorectal surgery
Oncology

Background:

Anastomosis of the rectum can be challenging due to tissue stiffness, particularly after radiation therapy.
Achieving a secure surgical connection is critical for patient outcomes in rectal surgery.

Purpose of the Study:

To describe a novel technique for achieving sound anastomosis in a stiff, irradiated rectum.
To provide a reliable method for rectal stump manipulation during stapled anastomosis.

Main Methods:

A pursestring suture is applied to the rectal stump.
Manual manipulation of the rectal stump addresses anteriorly inadequate staple doughnuts post-stapler firing.
The technique involves a circular stapler for anastomosis.

Main Results:

The described technique successfully achieves a sound anastomosis.
The method effectively resolves issues with inadequate staple doughnuts.

Conclusions:

This technique is efficient and reliable for creating a sound anastomosis in the rigid rectum.
It offers a practical solution for surgeons dealing with challenging rectal tissue.
The described method enhances the safety and success of rectal anastomosis procedures.

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